Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 53275-20 | WI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 53275-20 | WI |
NPI | 1043228414 |
---|---|
Provider Name | Dr. Christopher Paul Kolibash |
First Address | Pittsburgh, PA 15264-5253 |
Second Address | Weirton, WV 26062-3839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25751 | MEDICAL LICENSE (01) | WV |
35123190 | MEDICAL LICENSE (01) | OH |
MD428014 | MEDICAL LICENSE (01) | PA |