Michael W Konstan
Pediatric Pulmonologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
Michael W Konstan
Pediatric Pulmonologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Michael W Konstan
- 24701 Euclid Ave 3rd Floor
- Euclid, OH
- Zip : 44117-1714
- Phone :
Second Address
- Michael W Konstan
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Phone : (216) 844-7700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 35-047897 | OH |
National Provider Identifier
| NPI | 1568482537 |
|---|---|
| Provider Name | Michael W Konstan |
| First Address | Euclid, OH 44117-1714 |
| Second Address | Cleveland, OH 44106-1716 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 17/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000028203 | ANTHEM (01) | OH |
| 000000221262 | UNISON (01) | OH |
| 000000526037 | ANTHEM (01) | OH |
| 0011302060005 | (05) | PA |
| 0699829 | (05) | OH |
| 1568482537 | (05) | MI |
| 363717 | WELLCARE (01) | OH |
| 642954 | AETNA (01) | OH |
| 699829 | BCMH (01) | OH |
| 745931 | BUCKEYE (01) | OH |
| C03336 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.