Individual
DR. KONSTANTINOS ZORBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-2915
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
01086763A
IN
208600000X
Surgery Physician
01086763A
IN
208600000X
Surgery Physician
309679
NY
208600000X
Surgery Physician
Primary
MD484609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254330014
MEDICARE PIN
IN
Enumeration date
05/01/2015
Last updated
06/03/2024
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