Provider Demographics
NPI:1255360186
Name:CHAROGLU, CONSTANTINE P (MD,)
Entity type:Individual
Prefix:DR
First Name:CONSTANTINE
Middle Name:P
Last Name:CHAROGLU
Suffix:
Gender:M
Credentials:MD,
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Mailing Address - Street 1:3688 VETERANS MEMORIAL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-8246
Mailing Address - Country:US
Mailing Address - Phone:601-554-7451
Mailing Address - Fax:601-554-7488
Practice Address - Street 1:3688 VETERANS MEMORIAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-8246
Practice Address - Country:US
Practice Address - Phone:601-554-7451
Practice Address - Fax:601-554-7488
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2009-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS18891207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05431595Medicaid
MS05431595Medicaid
MSH41077Medicare UPIN