Individual provider · Type 1 NPI

Shailaja Antharam, MD

Internal Medicine Physician · Hicksville, NY

NPI number 1669114005 Active

Practice location

232 W Old Country Rd Ste A
Hicksville, NY 11801-4011

Call (917) 310-3371 Map

Fax (516) 938-1554

Mailing address

135 Mineola Blvd Fl 2
Mineola, NY 11501-3917

Other practice locations

  • 135 Mineola Blvd Ste A, Mineola, NY 11501-3917 · (917) 310-3371
  • 8268 164th St, Jamaica, NY 11432-1121 · (718) 883-4583

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Internal Medicine Physician Primary 207R00000X340594 (NY)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1669114005

Shailaja Antharam, MD's National Provider Identifier is 1669114005, issued on Apr 7, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Hicksville, NY. The record was last updated on Dec 12, 2025.