Individual
CONSTANTINE MOSCHONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9746 N 90TH PL, #203, SCOTTSDALE, AZ 85258-5085
(480) 614-0707
(480) 614-0353
Mailing address
9746 N 90TH PL, #203, SCOTTSDALE, AZ 85258-5085
(480) 614-0707
(480) 614-0353
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19915
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-00060
UNITEDHEALTHCARE ID #
AZ
05
—
162321-01
—
AZ
01
—
1Z2076
HEALTHNET ID #
AZ
01
—
4230300
CIGNA ID #
AZ
01
—
4330420
AETNA ID #
AZ
01
—
AZ0344440
BCBS ID #
AZ
01
—
ZWCKFM
MEDICARE GROUP ID #
AZ
Enumeration date
03/05/2007
Last updated
10/04/2019
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