Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariam Aehtesham

Individual provider Internal Medicine Physician · NPI 1033561170

Mariam Aehtesham is an Internal Medicine in Cape Girardeau, Missouri. Qualified in 2013, 13 years ago. Practices with Cook Physician Services, PC, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
13
Licensed in
IL, MO
In the registry since
2016
Specialties on file
3

Practice location Address checks out

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone: (573) 334-4822
Fax: (573) 986-5984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 355 Ridge Ave, Evanston, IL 60202-3328 — (847) 316-4000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2019022983 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036168185 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033561170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2016
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address3354 Church St, Evanston, IL 60203-1721

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Cook Physician Services, P.C. — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cape Girardeau