Provider Demographics
NPI:1659533438
Name:KOLANSKY, SAUL KALMAN (MD)
Entity Type:Individual
Prefix:
First Name:SAUL
Middle Name:KALMAN
Last Name:KOLANSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SAUL
Other - Middle Name:K
Other - Last Name:KOLANSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:110 N SAINT ASAPH ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3136
Mailing Address - Country:US
Mailing Address - Phone:703-548-2693
Mailing Address - Fax:
Practice Address - Street 1:110 N SAINT ASAPH ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3136
Practice Address - Country:US
Practice Address - Phone:703-548-2693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010226212084P0800X, 2084P0804X
DCMD71712084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry