# DR. ANNUKKA ANTAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932425113
- **Gender:** F
- **Credential:** M.D., PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D79266 | MD | Yes |
| 207R00000X | Internal Medicine Physician | DR0052386 | CO | — |
| 207RI0200X | Infectious Disease Physician | D79266 | MD | — |
| 208M00000X | Hospitalist Physician | 0052386 | CO | — |

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 10/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025520600 | — | NE |
| 05 | — | 136743900 | — | WY |
| 05 | — | 80001271 | — | CO |
| 01 | — | P01299635 | RR MEDICARE | CO |