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
Fax: (702) 433-5410
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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 1164429858 NPPES
Nevada MEDICAID 100508862
Nevada MEDICAID 100506950

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