Individual
ANIKA ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9697 SAINT CATHERINES DR STE 300, PLEASANT PRAIRIE, WI 53158-2118
(262) 577-8320
Mailing address
10504 SUTPHIN BLVD, JAMAICA, NY 11435-5022
(855) 681-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
030571-01
NY
363A00000X
Physician Assistant
Primary
8200-23
WI
Other
Enumeration date
10/27/2023
Last updated
10/17/2025
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