Dr Konstantin Grigoryan, MD is a
Dermatology - Mohs-micrographic Surgery physician based in Mather, California. Dr Konstantin Grigoryan is licensed to practice in California (license number A169957) and his current practice location is 10535 Hospital Way, Mather, California. He can be reached at his office (for appointments etc.) via phone at
(916) 843-7000.
NPI number for Dr Konstantin Grigoryan is 1881076313 and his current mailing address is 10535 Hospital Way, Mather, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881076313.
Physician's Profile
| Full Name | Dr Konstantin Grigoryan |
|---|
| Gender | Male |
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| Speciality | Dermatology - Mohs-micrographic Surgery |
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| Location | 10535 Hospital Way, Mather, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881076313
- Provider Enumeration Date: 06/21/2015
- Last Update Date: 05/11/2022
Medical Identifiers
Medical identifiers for Dr Konstantin Grigoryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881076313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 60753 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 264149 (Massachusetts) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A169957 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Konstantin Grigoryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Konstantin Grigoryan, MD
10535 Hospital Way,
Mather, CA 95655-4200
Ph: () - | Dr Konstantin Grigoryan, MD
10535 Hospital Way,
Mather, CA 95655-4200
Ph: (916) 843-7000 |
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