Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS P COSTIDAKIS, DPM
ActiveNICHOLAS P COSTIDAKIS, DPM is a Podiatrist healthcare provider located in LAFAYETTE, Indiana. NPI 1972571297 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · LAFAYETTE, IN
Registration Details
- NPI Number
- 1972571297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2006 (20.402766337449 yrs)
- Last Updated
- Mar 22, 2021
- License
-
07000748A (IN)
Practice Information
- Address
-
2606 VETERANS MEMORIAL PKWY S STE 8LAFAYETTE, IN, 479099192Browse IN providers · Browse ZIP 47909
- Phone
- 7654474776
- Fax
- 7654474809
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.