Individual
KONSTANTINOS SPANIOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15643
NH
208600000X
Surgery Physician
2013-01267
NC
208600000X
Surgery Physician
Primary
286029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477674562
—
NC
01
—
180Y2
BCBS NC
NC
Enumeration date
04/03/2007
Last updated
09/20/2016
Update your record
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