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Nicholas P Costidakis, DPM
Podiatrist in Lafayette, Indiana
NPI 1972571297

Nicholas P Costidakis is a Podiatrist based in Lafayette, IN. Nicholas P Costidakis practices in Lafayette, IN and has the professional credentials of DPM. The NPI Number for Nicholas P Costidakis is 1972571297 and holds a License No. 07000748A (Indiana).

The current practice location address for Nicholas P Costidakis is 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN and can be reached out via phone at 765-447-4776 and via fax at 765-447-4809. You can also correspond with Nicholas P Costidakis through the mailing address at PO BOX 4699, LAFAYETTE, IN - 47903-4699 (mailing address contact number: 765-449-2732).

Location: 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN, 47903-4699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972571297
Provider Name
Nicholas P Costidakis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN, 47903-4699
Phone Number
765-447-4776
Fax Number
765-447-4809
Provider Enumeration Date
03/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100232960 05 IN
10781139 01 IN CAQH
480034530 01 IN MEDICARE RAILROAD NUMBER
000000247376 01 IN ANTHEM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2606 Veterans Memorial Pkwy S Ste 8
City
Lafayette
State
Indiana
Zip
47909-9192
Phone Number
765-447-4776
Fax Number
765-447-4809
person
Provider Business Mailing Address Details
Address
Po Box 4699
City
Lafayette
State
Indiana
Zip
47903-4699
Phone Number
765-449-2732
Fax Number
765-449-1196
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
07000748A (Indiana)
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.
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