Provider Demographics
NPI:1669686994
Name:COLONIAL ORTHOPAEDICS INC
Entity Type:Organization
Organization Name:COLONIAL ORTHOPAEDICS INC
Other - Org Name:COLONIAL ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARAD
Authorized Official - Middle Name:N
Authorized Official - Last Name:SARAIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-526-5888
Mailing Address - Street 1:131 JENNICK DR
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-4905
Mailing Address - Country:US
Mailing Address - Phone:804-526-5888
Mailing Address - Fax:804-526-5401
Practice Address - Street 1:106 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2719
Practice Address - Country:US
Practice Address - Phone:804-541-9290
Practice Address - Fax:804-452-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies