Provider Demographics
NPI:1629296819
Name:CHOWDRY, JUDY RAMUS (MSPT)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:RAMUS
Last Name:CHOWDRY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1118
Mailing Address - Country:US
Mailing Address - Phone:317-242-8508
Mailing Address - Fax:
Practice Address - Street 1:902 E 51ST ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1118
Practice Address - Country:US
Practice Address - Phone:317-242-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003435A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200655400OtherLPI NUMBER
IN200655400OtherLPI NUMBER