Individual
DR. COSTANTINE ALBANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 775-2800
(765) 471-5461
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01068345A
IN
207RX0202X
Medical Oncology Physician
Primary
01068345A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01068345A
INDIANA'S PROFESSIONAL LICENSING
IN
05
—
201107150
—
IN
Enumeration date
09/06/2009
Last updated
12/29/2025
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