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Individual

DR. YULIYA ANATOLIEVNA DOMNINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
(704) 446-1582
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(202) 476-5000

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
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