Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark P Kostelak, CCP

Individual provider Perfusionist · NPI 1578161105

Mark P Kostelak, CCP is a Perfusionist in New Orleans, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Partly verified

Some contact details are missing from the federal record.

SE Louisiana Veterans Health Care System 2400 Canal St
New Orleans, LA 70119
Phone: (504) 784-5364
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Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence PEF.200076

Record details

NPI number1578161105
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedOctober 15, 2020
Last updated in NPPESOctober 15, 2020
Certification dateOctober 13, 2020
Mailing address29 Magnolia Trace Dr, Harvey, LA 70058-6112

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