Provider Demographics
NPI:1659667335
Name:RHODES, DARNIKA JOY (MD)
Entity Type:Individual
Prefix:
First Name:DARNIKA
Middle Name:JOY
Last Name:RHODES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 POMEROY AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-7483
Mailing Address - Country:US
Mailing Address - Phone:203-694-5340
Mailing Address - Fax:
Practice Address - Street 1:61 POMEROY AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-7483
Practice Address - Country:US
Practice Address - Phone:203-694-5340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD80333207R00000X, 208000000X
CT74323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics