Organization
GULAM-MOHMED M KOLIA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GULAM-MOHMED M KOLIA M.D.,F.A.C.C. (PRESIDENT)
(703) 532-3298
Entity
Organization
Contact information
Practice address
6408 SEVEN CORNERS PLACE, SUITE-D, FALLS CHURCH, VA 22044-2011
(703) 532-3298
(703) 532-3299
Mailing address
6408 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006069827
—
VA
01
—
061470
ANTHEM BCBS
—
01
—
8045-0001
CAREFIRST BCBS
—
Enumeration date
02/25/2011
Last updated
03/29/2011
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