Individual
MIRJANA J DOMAKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7493
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7493
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
055758
CT
2084P0800X
Psychiatry Physician
244741
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
055758
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275853178
—
CT
Enumeration date
06/03/2010
Last updated
09/09/2022
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