Audeh, Constantine
Audeh, Constantine is an individual health care provider with primary practice located at 5555 W. Thunderbird Banner Thunderbird Medical Center, Glendale AZ 85306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Audeh, Constantine can be contacted via phone (602) 865-2627.Contact Information
Primary practice address
5555 W. Thunderbird Banner Thunderbird Medical Center
Glendale AZ 85306
Phone: (602) 865-2627
Fax: (602) 865-2631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20953 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 20953 | Arizona |
Profile Details
| NPI number | 1902885346 |
|---|---|
| LBN Legal business name | Audeh, Constantine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Oct 21st, 2015 - about 9 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 | 1902885346 | NPPES |
| Arizona | MEDICAID | 171489 |
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