Fialk, Gary S

Fialk, Gary S is an individual health care provider with primary practice located at 1860 Town Center Dr Suite 180, Reston VA 20190-5896. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Fialk, Gary S can be contacted via phone (703) 689-3311.

Contact Information

Primary practice address
1860 Town Center Dr Suite 180 Reston VA 20190-5896
Phone: (703) 689-3311
Fax: (703) 435-0137
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101053797 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X 010153797 Virginia

Profile Details

NPI number 1376518670
LBN Legal business name Fialk, Gary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 3rd, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376518670 NPPES
Virginia MEDICAID 007502117

Popular Providers