Individual
KONSTANTIN KONSTANTINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-3840
Mailing address
933 BRADBURY DRIVE SE, SUITE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD2004-0234
NM
Other
Enumeration date
07/22/2006
Last updated
05/15/2012
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