Dean P Kostakos is a Podiatrist in Roswell, Georgia. Dean P Kostakos practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Dean P Kostakos is 1417056847. The last update date is 2007-07-08.
Dean P Kostakos's current location address is 1380 Upper Hembree Rd, Roswell, Georgia. You can contact this provider via phone number 7703467500 and fax number 7703468800. The mailing address for Dean P Kostakos is 1380 Upper Hembree Rd, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean P Kostakos |
|---|---|
| Address | 1380 Upper Hembree Rd, Roswell, Georgia |
| Phone Number | 7703467500 |
| Fax Number | 7703468800 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1417056847 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1380 Upper Hembree Rd |
|---|---|
| City | Roswell |
| State | Georgia (GA) |
| Post Code | 300761146 |
| Phone Number | 7703467500 |
| Fax Number | 7703468800 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | POD000605 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 909671 | GA | BLUE CROSS BLUE SHIELD | |
| P00166113 | RAIL ROAD MEDICARE | ||
| 4407320 | AETNA HEALTH PLANS | ||
| U28228 | GA | COVENTRY |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dean P Kostakos?
The Dean P Kostakos has been issued the NPI (National Provider Identifier) 1417056847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Dean P Kostakos's physical address?
The Dean P Kostakos is physically located at 1380 Upper Hembree Rd, in the city of Roswell, GA, with the postal code 300761146.
What is Dean P Kostakos's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dean P Kostakos is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417056847 to Dean P Kostakos?
The Dean P Kostakos received its 1417056847 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date were the Dean P Kostakos's details last updated?
The information pertaining to the Dean P Kostakos, including its address, specialty, and other details, was most recently updated on 2007-07-08.