Individual
CONSTANTINE DIMITRIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITAL - GENERAL PEDIATRICS, 200 HENRY CLAY AVENUE, NEW ORLEANS, LA 70118
(504) 896-3924
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-4800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
024167
LA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD419305
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489336
—
LA
Enumeration date
08/22/2006
Last updated
09/16/2022
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