Grigoryan, Konstantin
Grigoryan, Konstantin is an sole proprietor health care provider with primary practice located at 10535 Hospital Way , Mather CA 95655-4200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Grigoryan, Konstantin can be contacted via phone (916) 843-7000.Contact Information
Primary practice address
10535 Hospital Way
Mather CA 95655-4200
Phone: (916) 843-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 60753 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 264149 | Massachusetts |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A169957 | California |
Profile Details
| NPI number | 1881076313 |
|---|---|
| LBN Legal business name | Grigoryan, Konstantin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2015 |
| Last updated | May 11th, 2022 - about 3 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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