Provider Demographics
NPI:1790950012
Name:DOKMECI, ELIF (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIF
Middle Name:
Last Name:DOKMECI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIF
Other - Middle Name:
Other - Last Name:UC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:330 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3218
Mailing Address - Country:US
Mailing Address - Phone:505-250-9095
Mailing Address - Fax:203-785-3229
Practice Address - Street 1:330 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3218
Practice Address - Country:US
Practice Address - Phone:505-250-9095
Practice Address - Fax:203-737-6035
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0425572080P0201X, 2080P0214X
LA15710R2080P0201X
NMMD2012-00442080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1423629Medicaid
LA1423629Medicaid