Individual
DR. CONSTANTINE M CHAKNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD., 1ST FLOOR, SUITE 300S, PHILADELPHIA, PA 19104-2617
(215) 662-2638
(215) 349-5703
Mailing address
3400 CIVIC CENTER BLVD., 1ST FLOOR, SUITE 300S, PHILADELPHIA, PA 19104-2617
(215) 662-2638
(215) 349-5703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228780
MA
207RN0300X
Nephrology Physician
Primary
MD442952
PA
Other
Enumeration date
05/15/2007
Last updated
08/22/2019
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