George, Constantine
George, Constantine is an individual health care provider with primary practice located at 6252 S Rainbow Blvd Suite 110, Las Vegas NV 89118-3248. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. George, Constantine can be contacted via phone (702) 253-5410.Contact Information
Primary practice address
6252 S Rainbow Blvd Suite 110
Las Vegas NV 89118-3248
Phone: (702) 253-5410
Fax: (702) 433-5410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11122 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11122 | Nevada |
Profile Details
| NPI number | 1164429858 |
|---|---|
| LBN Legal business name | George, Constantine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Sep 3rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164429858 | NPPES |
| Nevada | MEDICAID | 100508862 | |
| Nevada | MEDICAID | 100506950 |
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