Provider Demographics
NPI:1316732050
Name:ULLAH, ANIKA NAWAR (MD)
Entity type:Individual
Prefix:
First Name:ANIKA
Middle Name:NAWAR
Last Name:ULLAH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ANIKA
Other - Middle Name:NAWAR
Other - Last Name:SUETAKE-ULLAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:760 WESTWOOD PLZ # C8-193
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:760 WESTWOOD PLZ # C8-193
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5055
Practice Address - Country:US
Practice Address - Phone:310-206-6721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program