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Individual

GULAM-MOHMED M KOLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACC

Contact information

Practice address
6408-D SEVEN CORNERS PLACE, SUITE D, FALLS CHURCH, VA 22044-2011
(703) 532-3298
(703) 532-3299
Mailing address
6408-D SEVEN CORNERS PLACE, SUITE D, FALLS CHURCH, VA 22044-2011
(703) 532-3298
(703) 532-3299

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101028377
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006069827
VA
01
061470
ANTHEM BCBS
VA
01
80450001
CAREFIRST BCBS
DC
Enumeration date
08/11/2006
Last updated
02/15/2011
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