Komninakas, Ignatius

Komninakas, Ignatius is an individual health care provider with primary practice located at 2 Trap Falls Rd Ste 404 , Shelton CT 06484-7622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Komninakas, Ignatius can be contacted via phone (203) 734-7900.

Contact Information

Primary practice address
2 Trap Falls Rd Ste 404 Shelton CT 06484-7622
Phone: (203) 734-7900
Fax: (203) 513-3269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 037665 Connecticut
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 037655 Connecticut

Profile Details

NPI number 1164429619
LBN Legal business name Komninakas, Ignatius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164429619 NPPES
Connecticut MEDICAID 001376658

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