Provider Demographics
NPI:1831460369
Name:KOLODNY, STEVEN NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:NEIL
Last Name:KOLODNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3463
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES PENINSULA
Mailing Address - State:CA
Mailing Address - Zip Code:90274-9463
Mailing Address - Country:US
Mailing Address - Phone:310-704-7256
Mailing Address - Fax:
Practice Address - Street 1:1360 VIA CORONEL
Practice Address - Street 2:
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-1938
Practice Address - Country:US
Practice Address - Phone:310-704-7256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG18942207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease