Provider Demographics
NPI:1528046257
Name:PAPADAKIS, KONSTANTINOS (MD)
Entity type:Individual
Prefix:
First Name:KONSTANTINOS
Middle Name:
Last Name:PAPADAKIS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:CHILDREN'S HOSPITAL BOSTON, FEGAN BLDG. 3RD FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-355-6915
Mailing Address - Fax:617-730-0477
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL BOSTON, FEGAN BLDG. 3RD FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-355-6915
Practice Address - Fax:617-730-0477
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA159767208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110073700AMedicaid
MA0038881OtherNHP
NH3084730Medicaid