# COSTAS L. CONSTANTINOU, M.D., P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306027164
- **Authorized official:** DR. COSTAS L CONSTANTINOU M.D. (PRESIDENT)
- **Authorized official phone:** (563) 359-9876

## Contact information

- **Practice address:** 1409 E KIMBERLY RD, DAVENPORT, IA 52807-1923
- **Practice address phone:** (563) 359-9876
- **Practice address fax:** (563) 359-0608
- **Mailing address:** 1409 E KIMBERLY RD, DAVENPORT, IA 52807-1923
- **Mailing address phone:** (563) 359-9876
- **Mailing address fax:** (563) 359-0608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 06/11/2008