Provider Demographics
NPI:1780837922
Name:CHOWDHRY, SAEED (MD)
Entity Type:Individual
Prefix:DR
First Name:SAEED
Middle Name:
Last Name:CHOWDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 W 95TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2655
Mailing Address - Country:US
Mailing Address - Phone:708-684-4198
Mailing Address - Fax:708-684-4755
Practice Address - Street 1:4400 W 95TH ST STE 102
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2655
Practice Address - Country:US
Practice Address - Phone:708-684-4198
Practice Address - Fax:708-684-4755
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.121642208600000X
IL0361216422086S0122X
IN01088200A208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100075310Medicaid
IN01088200AMedicaid
IL036121642OtherSTATE LICENSE