Individual
ROBERT Z FIALKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01040353A
IN
207RN0300X
Nephrology Physician
2007022051
MO
207RN0300X
Nephrology Physician
29160
KY
207RN0300X
Nephrology Physician
Primary
MD2004-0712
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032210
—
IN
01
—
P00409664
RAILROAD MEDICARE
MO
Enumeration date
07/06/2005
Last updated
02/11/2020
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