Individual
DR. CONSTANTINE AUDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2631
Mailing address
5555 W. THUNDERBIRD, BANNER THUNDERBIRD MEDICAL CENTER, GLENDALE, AZ 85306
(602) 865-2627
(602) 865-2632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20953
AZ
208M00000X
Hospitalist Physician
Primary
20953
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171489
—
AZ
Enumeration date
01/13/2006
Last updated
10/21/2015
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