Individual provider · Type 1 NPI

Konstantin Vladimir Grigoryan, MD

MOHS-Micrographic Surgery Physician · Roseville, CA

NPI number 1881076313 Active

Practice location

2261 Douglas Blvd
Roseville, CA 95661-3831

Call (916) 791-0920 Map

Fax (916) 797-4767

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice locations

330 Brookline Ave, Boston, MA 02215-5400 · (617) 667-7000
10535 Hospital Way, Mather, CA 95655-4200 · (916) 843-7000

Specialties and licenses

Taxonomy	Code	License
MOHS-Micrographic Surgery Physician Primary	207ND0101X	A169957 (CA)
Dermatology Physician	207N00000X	60753 (MN)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1881076313

Konstantin Vladimir Grigoryan, MD's National Provider Identifier is 1881076313, issued on Jun 21, 2015. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Roseville, CA. The record was last updated on Sep 30, 2025.