NPI 1972571297 · live from the CMS NPI Registry
Nicholas P Costidakis, DPM
Podiatrist in Lafayette, IN. National Provider Identifier 1972571297, active.
NPI record
| NPI | 1972571297 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909 |
| Practice phone | 765-447-4776 |
| Mailing address | Po Box 4699, Lafayette, IN 47903 |
| Enumerated | March 11, 2006 |
| Last updated | March 22, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 07000748A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.