Provider Demographics
NPI:1902820657
Name:KOLOLGI, BINA SUNIL (MD)
Entity Type:Individual
Prefix:DR
First Name:BINA
Middle Name:SUNIL
Last Name:KOLOLGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7417 CLIFTON QUARRY DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-2810
Mailing Address - Country:US
Mailing Address - Phone:703-830-7874
Mailing Address - Fax:
Practice Address - Street 1:6045 BURKE CENTRE PKWY
Practice Address - Street 2:SUITE M
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3751
Practice Address - Country:US
Practice Address - Phone:703-239-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053083207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine