Koldoba, Galina L

Koldoba, Galina L is an individual health care provider with primary practice located at 11475 Robinson Dr Nw Mail Stop 32600A, Coon Rapids MN 55433-3746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Koldoba, Galina L can be contacted via phone (763) 754-4600.

Contact Information

Primary practice address
11475 Robinson Dr Nw Mail Stop 32600A Coon Rapids MN 55433-3746
Phone: (763) 754-4600
Fax: (763) 754-4614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47961 Minnesota

Profile Details

NPI number 1265409098
LBN Legal business name Koldoba, Galina L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Aug 19th, 2014 - about 12 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 1265409098 NPPES
Minnesota MEDICAID 638978300

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