MIRJANA J DOMAKONDA MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Child & Adolescent Psychiatry
Provider Information
- NPI Number
1275853178- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 200 RETREAT AVE, HARTFORD, CT, 061063309
- Phone
- (860) 545-7493
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
License: MA #244741
Psychiatry & Neurology, Psychiatry
License: CT #055758
Psychiatry & Neurology, Child & Adolescent Psychiatry
Primary License: CT #055758