Provider Demographics
NPI:1609296029
Name:STEVEN R BIALKIN MD PLLC
Entity Type:Organization
Organization Name:STEVEN R BIALKIN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BIALKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-412-3708
Mailing Address - Street 1:3699 AIRPORT PULLING RD N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-8516
Mailing Address - Country:US
Mailing Address - Phone:252-412-3708
Mailing Address - Fax:239-254-3105
Practice Address - Street 1:11982 HEATHER WOODS CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-4398
Practice Address - Country:US
Practice Address - Phone:252-412-3708
Practice Address - Fax:239-254-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98573207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty