Provider Demographics
NPI:1568666303
Name:KOLANGADEN, ZUBIN PAULSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ZUBIN
Middle Name:PAULSON
Last Name:KOLANGADEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2149 E WARNER RD
Mailing Address - Street 2:STE 102
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3495
Mailing Address - Country:US
Mailing Address - Phone:480-610-6134
Mailing Address - Fax:
Practice Address - Street 1:825 TOWN CENTER DR
Practice Address - Street 2:SUITE 152
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1753
Practice Address - Country:US
Practice Address - Phone:215-741-3510
Practice Address - Fax:215-741-3517
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD453108207RN0300X, 207RN0300X
NJ25MA08990100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD453108OtherPA MEDICAL LICENSE