Individual
DR. ANNIKA S ILLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.200464
LA
207RC0000X
Cardiovascular Disease Physician
Primary
P1086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U3Z7
BCBS
TX
Enumeration date
05/29/2007
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up