Magoulias, Constance D

Magoulias, Constance D is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Magoulias, Constance D can be contacted via phone (216) 778-7800.

Contact Information

Primary practice address
2500 Metrohealth Dr Cleveland OH 44109-1900
Phone: (216) 778-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35048907 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 35048907 Ohio

Profile Details

NPI number 1215966890
LBN Legal business name Magoulias, Constance D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Dec 27th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215966890 NPPES
Ohio MEDICAID 0609194

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