Individual
IRINA MUNI
Active
Individual
IRINA MUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037506
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001375064
—
CT
01
—
010037506CT01
ANTHEM BLUE SHIELD
CT
01
—
0V7701
HEALTHNET
—
Enumeration date
07/22/2006
Last updated
06/22/2021
Update your record
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