# NEELIMA ATYAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750717245
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0167591 | NY | — |
| 363A00000X | Physician Assistant | 25MP00472100 | NJ | Yes |

## Other

- **Enumeration date:** 09/17/2013
- **Last updated:** 05/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1 | NA | — |