Provider Demographics
NPI:1891060067
Name:KOLAITIS, NICHOLAS ANDREAS (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ANDREAS
Last Name:KOLAITIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:UCSF BOX 0359
Mailing Address - Street 2:UCSF MEDICAL CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-353-2961
Mailing Address - Fax:415-353-2568
Practice Address - Street 1:400 PARNASSUS AVE
Practice Address - Street 2:UCSF BOX 0359
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-353-2961
Practice Address - Fax:415-353-2568
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2017-05-10
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Provider Licenses
StateLicense IDTaxonomies
CAA129772207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease