Provider Demographics
NPI:1407893639
Name:KONSTANCE, RICHARD PATRICK II (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PATRICK
Last Name:KONSTANCE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:PATRICK
Other - Last Name:KONSTANCE
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2762 ELECTRIC RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3582
Mailing Address - Country:US
Mailing Address - Phone:540-283-2710
Mailing Address - Fax:
Practice Address - Street 1:2762 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3582
Practice Address - Country:US
Practice Address - Phone:540-283-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248201207RI0011X, 207R00000X, 207UN0901X, 207RC0000X
PAMD431042207RC0000X, 207RI0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH87714Medicare UPIN