Individual
DR. KONSTANTIN VLADIMIR GRIGORYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2261 DOUGLAS BLVD, ROSEVILLE, CA 95661-3831
(916) 791-0920
(916) 797-4767
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(916) 854-6769
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
60753
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A169957
CA
Other
Enumeration date
06/21/2015
Last updated
09/30/2025
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