Provider Demographics
NPI:1336149343
Name:KOLOLGI, SUNIL VISHWANATH (MD,)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:VISHWANATH
Last Name:KOLOLGI
Suffix:
Gender:M
Credentials:MD,
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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:703-930-1980
Mailing Address - Fax:703-991-0051
Practice Address - Street 1:200 MEMORIAL DR
Practice Address - Street 2:PAGE MEMORIAL HOSPITAL
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-1000
Practice Address - Country:US
Practice Address - Phone:540-743-4561
Practice Address - Fax:540-743-1512
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101042558207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services