Provider Demographics
NPI:1659661403
Name:PAPAKOSTAS, ELENE
Entity Type:Individual
Prefix:DR
First Name:ELENE
Middle Name:
Last Name:PAPAKOSTAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 S HORNER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5359
Mailing Address - Country:US
Mailing Address - Phone:919-292-1610
Mailing Address - Fax:919-292-1613
Practice Address - Street 1:821 S HORNER BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5359
Practice Address - Country:US
Practice Address - Phone:919-292-1610
Practice Address - Fax:919-292-1613
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC621213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery