National Provider Identifier Database

DEAN P KOSTAKOS, DPM – NPI #1417056847
Podiatrist

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.


Contact Information

DEAN P KOSTAKOS, DPM
1380 UPPER HEMBREE RD
ROSWELL, GA30076-1146
Phone: 770-346-7500
Fax: 770-346-8800
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for DEAN P KOSTAKOS

NPI Number 1417056847
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/22/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • GA License #: POD000605
  • Other: 4407320 AETNA HEALTH PLANS
  • Other: P00166113 RAIL ROAD MEDICARE
  • GA Other: 909671 BLUE CROSS BLUE SHIELD
  • GA Other: U28228 COVENTRY
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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