MEDICARE: GEORGE KOLODNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	5233	DC

General Provider Information

NPI Number	:	1255330411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE KOLODNER MD

Provider Business Mailing Address
First Line	:	3204 KLINGLE RD NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-3403
Country	:	US
Telephone Number	:	202-215-3565
Fax Number	:	410-705-0178

Provider Business Practice Location Address
First Line	:	3204 KLINGLE RD NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-3403
Country	:	US
Telephone Number	:	202-215-3565
Fax Number	:	410-705-0178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/18/2025

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