Individual
KONSTANTIN SHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5905
(614) 293-4715
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 366-3534
(614) 293-2779
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35078510
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D69895
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2294280
—
OH
Enumeration date
12/01/2005
Last updated
03/06/2019
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