Healthcare Provider Details

I. General information

NPI: 1003920927
Provider Name (Legal Business Name): CONSTANTINE ANDREAS SERKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W LINCOLN HWY
EXTON PA
19341-2547
US

IV. Provider business mailing address

11 LAUREN LN
CHESTER SPRINGS PA
19425-3315
US

V. Phone/Fax

Practice location:
  • Phone: 610-363-7837
  • Fax:
Mailing address:
  • Phone: 610-827-1909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD041647L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier001885338
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: