Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK T FAHLEN, MD
Active Sole ProprietorMARK T FAHLEN, MD is a Nephrology healthcare provider located in MODESTO, California. NPI 1679539415 is currently active in the NPPES registry. Verify at CMS.
Nephrology · MODESTO, CA
Registration Details
- NPI Number
- 1679539415
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2006 (20.332400722248 yrs)
- Last Updated
- Aug 2, 2011
- Licenses
-
A81212 (CA)A81212 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 FLORIDA AVESUITE 109MODESTO, CA, 953504422Browse CA providers · Browse ZIP 95350
- Phone
- 2095442910
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Other Nephrology Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| KRIENGSAK ITSARA | MD | 1558363739 |
| CHANG S JOO | MD | 1508868787 |
| KENNETH K LIU | MD | 1326042391 |
| KISHORE K. KALLURI | M.D. | 1073517751 |
| JOSEPHINE R BAISAC | M.D. | 1548223480 |
| JOSE M. R. SANTOS | M.D. | 1073577573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.