Individual
KONSTANTINOS DEMERTZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
697 THOMAS LN, COLUMBUS, OH 43214-3931
(614) 566-5414
(614) 533-0433
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 533-6497
(614) 533-0433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.140372
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422375
—
OH
Enumeration date
03/21/2018
Last updated
01/25/2022
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