Individual
DR. CONSTANTINE TZIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER, FAIRFAX, VA 22033-3310
(703) 383-5400
(703) 383-5489
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD036351
DC
207RC0000X
Cardiovascular Disease Physician
Primary
0101245458
VA
Other
Enumeration date
08/06/2008
Last updated
06/12/2021
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