Antar, Annukka
Antar, Annukka is an individual health care provider with primary practice located at 1717 E Monument St , Baltimore MD 21287-0027. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Antar, Annukka can be contacted via phone (410) 955-1725.Contact Information
Primary practice address
1717 E Monument St
Baltimore MD 21287-0027
Phone: (410) 955-1725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR0052386 | Colorado |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D79266 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0052386 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D79266 | Maryland |
Profile Details
| NPI number | 1932425113 |
|---|---|
| LBN Legal business name | Antar, Annukka |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2010 |
| Last updated | Oct 6th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932425113 | NPPES |
| Nebraska | MEDICAID | 10025520600 | |
| Nebraska | Other | P01299635 | |
| Nebraska | MEDICAID | 136743900 | |
| Nebraska | MEDICAID | 80001271 |
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