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MARK T. FAHLEN, MD, INC. A PROFESSIONAL MEDICAL CORPORATION
NPI 1659537264
Internal Medicine - Nephrology in Modesto, CA

Active since August 03, 2008
1400 FLORIDA AVE, SUITE 109, MODESTO, CA 95350(209) 544-2910(209) 544-2253 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark T. Fahlen, Md, Inc. A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK T. FAHLEN, MD, INC. A PROFESSIONAL MEDICAL CORPORATION (NPI 1659537264) is a healthcare organization registered as a nephrology in Modesto, California and active in the NPI registry since August 2008. The organization lists Mark Theodore Fahlen, President, as its authorized official.

NPPES Registry Identity

NPI1659537264
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMARK T. FAHLEN, MD, INC. A PROFESSIONAL MEDICAL CORPORATION
Location Address1400 FLORIDA AVE, SUITE 109Modesto, CA 95350-4422
Mailing Address1400 Florida Ave, Suite 109Modesto, CA 95350-4422 · (209) 544-2910 · Fax (209) 544-2253
Phone(209) 544-2910
Fax(209) 544-2253
Organization SubpartNo
Authorized OfficialMark Theodore FahlenPresident · (209) 544-2910
Enumeration DateAugust 3, 2008
Last NPPES UpdateAugust 2, 2011
✔ NPI 1659537264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A81212
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.
1400 FLORIDA AVE, Modesto, CA 95350
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH85858CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLANCA E. ZANK R.N. C.N.M.
Advanced Practice Midwife
1400 FLORIDA AVE, STE. 207
MODESTO, CA 95350
Stanislaus County (209) 522-1027
IRENE BELLE FEAVER R.N. C.N.M.
Advanced Practice Midwife
1400 FLORIDA AVE, STE. 207
MODESTO, CA 95350
Stanislaus County (209) 522-1027
SHAUNTON STUBBS DO
Orthopaedic Surgery
1400 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (209) 573-6183
JASMEET SINGH SAROYA
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (530) 713-6628
DR. JOHN MATTHEW EMERY III M.D.
Specialist
1400 FLORIDA AVE, SUITE 110
MODESTO, CA 95350
Stanislaus County (209) 524-6294
DR. SALMAN LADHA MD
Family Medicine
1400 FLORIDA AVE
MODESTO, CA 95350
Stanislaus County (909) 532-3574
DR. DANILO MARTINEZ MD
Neurological Surgery
1400 FLORIDA AVE, STE 104
MODESTO, CA 95350
Stanislaus County (209) 527-1651
FRED ADAMS M.D. INC
Preferred Provider Organization
1400 FLORIDA AVE, SUITE 205 A
MODESTO, CA 95350
Stanislaus County (209) 575-5844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark T. Fahlen, MD, Inc. A Professional Medical Corporation's NPI number?

The NPI number for Mark T. Fahlen, MD, Inc. A Professional Medical Corporation is 1659537264. It was assigned to this organization in the NPPES registry on August 3, 2008.

Where is Mark T. Fahlen, MD, Inc. A Professional Medical Corporation located?

Mark T. Fahlen, MD, Inc. A Professional Medical Corporation is located at 1400 Florida Ave Suite 109, Modesto, CA 95350. The listed phone number is (209) 544-2910.

What is Mark T. Fahlen, MD, Inc. A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Mark T. Fahlen, MD, Inc. A Professional Medical Corporation was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.