Individual provider · Type 1 NPI

Mythili Sanikommu, DO

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1801684063 Active

Practice location

85 Seymour St
Hartford, CT 06106-5501

Call (860) 972-4096 Map

Mailing address

80 Seymour St
Hartford, CT 06102-8000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801684063

Mythili Sanikommu, DO's National Provider Identifier is 1801684063, issued on Apr 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Apr 28, 2025.