Mark T Fahlen is a Nephrology in Modesto, California. Mark T Fahlen practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Mark T Fahlen is 1679539415. The last update date is 2011-08-02.
Mark T Fahlen's current location address is 1400 Florida Ave, Modesto, California. You can contact this provider via phone number 2095442910. The mailing address for Mark T Fahlen is 1400 Florida Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark T Fahlen |
|---|---|
| Address | 1400 Florida Ave, Modesto, California |
| Phone Number | 2095442910 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679539415 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2011-08-02 |
Provider Mailing Address Detail
| Address | 1400 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504422 |
| Phone Number | 2095442910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A81212 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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What is the unique 10-digit identifier code assigned to Mark T Fahlen by the Centers for Medicare & Medicaid Services?
The Mark T Fahlen has been issued the NPI (National Provider Identifier) 1679539415 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark T Fahlen?
The Mark T Fahlen is situated at 1400 Florida Ave, in the city of Modesto, state of CA, with the zip code 953504422.
What is Mark T Fahlen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark T Fahlen is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.
On what date did the Mark T Fahlen receive its 1679539415 assignment from the Centers for Medicare & Medicaid Services?
The Mark T Fahlen was assigned its 1679539415 by the Centers for Medicare & Medicaid Services on 2006-04-21.
As of what date were the Mark T Fahlen's details last updated?
The information pertaining to the Mark T Fahlen, including its address, specialty, and other details, was most recently updated on 2011-08-02.