Individual
DR. YULIYA ANATOLIEVNA DOMNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2007-01413
NC
208000000X
Pediatrics Physician
216822
MA
2080P0202X
Pediatric Cardiology Physician
2007-01413
NC
2080P0203X
Pediatric Critical Care Medicine Physician
2007-01413
NC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD048841
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146Y3
BCBS-NC
NC
05
—
2008335
—
MA
01
—
216822
TUFTS HEALTH PLAN
MA
05
—
5907041
—
NC
01
—
J26173
BCBS OF MA
MA
05
—
N13008
—
SC
Enumeration date
12/13/2005
Last updated
03/07/2021
Update your record
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