Healthcare Provider Details

I. General information

NPI: 1790950012
Provider Name (Legal Business Name): ELIF DOKMECI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIF UC MD

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 CEDAR ST
NEW HAVEN CT
06510-3218
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-250-9095
  • Fax: 203-737-6035
Mailing address:
  • Phone: 505-272-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number15710R
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberMD2012-0044
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number042557
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number042557
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: