Provider Demographics
NPI:1972514586
Name:VLADIMIR J KALAS, MD PC
Entity type:Organization
Organization Name:VLADIMIR J KALAS, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:J
Authorized Official - Last Name:KALAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-271-0327
Mailing Address - Street 1:258 HOOSICK STREET
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2446
Mailing Address - Country:US
Mailing Address - Phone:518-271-0327
Mailing Address - Fax:518-271-1554
Practice Address - Street 1:258 HOOSICK STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2446
Practice Address - Country:US
Practice Address - Phone:518-271-0327
Practice Address - Fax:518-271-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175382-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty