# MARIAM CHOWDHRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215108337
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036.128935 | IL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2014018795 | MO | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036128935 | — | IL |