Healthcare Provider Details

I. General information

NPI: 1922039346
Provider Name (Legal Business Name): HEIKKI E KOSTAMAA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 WHITE BRIDGE PIKE STE.208
NASHVILLE TN
37205
US

IV. Provider business mailing address

341 COOL SPRINGS BLVD STE 400
FRANKLIN TN
37067
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-2001
  • Fax: 615-327-2015
Mailing address:
  • Phone: 423-508-7337
  • Fax: 423-508-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number39604
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number39604
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: