Individual
CONSTANTINE MOSCHONAS
Active
Individual
CONSTANTINE MOSCHONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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