Provider Demographics
NPI:1114992815
Name:SALKINDER, KONSTANTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KONSTANTIN
Middle Name:
Last Name:SALKINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6221 WILSHIRE BLVD
Mailing Address - Street 2:318
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5225
Mailing Address - Country:US
Mailing Address - Phone:323-933-8477
Mailing Address - Fax:323-933-0742
Practice Address - Street 1:6221 WILSHIRE BLVD
Practice Address - Street 2:318
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5225
Practice Address - Country:US
Practice Address - Phone:323-933-8477
Practice Address - Fax:323-933-0742
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42070207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
C42070Medicare ID - Type Unspecified
A88293Medicare UPIN