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Dr. Dean P Kostakos, DPM
Foot & Ankle Surgery Podiatrist in Roswell, Georgia
NPI 1417056847

Dean P Kostakos is a Foot & Ankle Surgery Podiatrist based in Roswell, GA and is specialized in Foot & Ankle Surgery. Dean P Kostakos practices in Roswell, GA and has the professional credentials of DPM. The NPI Number for Dean P Kostakos is 1417056847 and holds a License No. POD000605 (Georgia).

The current practice location address for Dean P Kostakos is 1380 Upper Hembree Rd, Roswell, GA and can be reached out via phone at 770-346-7500 and via fax at 770-346-8800.

Location: 1380 Upper Hembree Rd, Roswell, GA, 30076-1146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417056847
Provider Name
Dean P Kostakos
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1380 Upper Hembree Rd, Roswell, GA, 30076-1146
Phone Number
770-346-7500
Fax Number
770-346-8800
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
909671 01 GA BLUE CROSS BLUE SHIELD
P00166113 01 RAIL ROAD MEDICARE
4407320 01 AETNA HEALTH PLANS
U28228 01 GA COVENTRY
institution
Provider Business Practice Location Address Details
Address
1380 Upper Hembree Rd
City
Roswell
State
Georgia
Zip
30076-1146
Phone Number
770-346-7500
Fax Number
770-346-8800
person
Provider Business Mailing Address Details
Address
1380 Upper Hembree Rd
City
Roswell
State
Georgia
Zip
30076-1146
Phone Number
770-346-7500
Fax Number
770-346-8800
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
POD000605 (Georgia)
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
POD000605 (Georgia)
Definition
Definition to come...
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