Provider Demographics
NPI:1649212184
Name:KALAS, VLADIMIR JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:JOSEPH
Last Name:KALAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:258 HOOSICK STREET
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2446
Mailing Address - Country:US
Mailing Address - Phone:518-271-0327
Mailing Address - Fax:518-271-1554
Practice Address - Street 1:258 HOOSICK STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2446
Practice Address - Country:US
Practice Address - Phone:518-271-0327
Practice Address - Fax:518-271-1554
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2014-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY175382-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery