Podolsky, Robert Stephen

Podolsky, Robert Stephen is an individual health care provider with primary practice located at 12005 Sunrise Valley Drive, Suite 120 , Reston VA 20191-3469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Podolsky, Robert Stephen can be contacted via phone (571) 375-7174.

Contact Information

Primary practice address
12005 Sunrise Valley Drive, Suite 120 Reston VA 20191-3469
Phone: (571) 375-7174
Fax: (571) 375-7177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101055000 Virginia

Profile Details

NPI number 1568428258
LBN Legal business name Podolsky, Robert Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Nov 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568428258 NPPES
Virginia MEDICAID 1568428258

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