Individual
NEIL KOLYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., CSA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-6014
Mailing address
PO BOX 9971, MC LEAN, VA 22102-0971
(703) 635-7948
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
188-01
CO
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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