Individual provider · NPI-1

Dr. Robert Earl Burky III, MD

Radiology, Vascular & Interventional Radiology · Roseville, CA

NPI number1124559356
StatusActive
Last updated in NPPESOct 2, 2025

Details

NPI
1124559356
Entity type
Individual (NPI-1)
Name
Dr. Robert Earl Burky III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2017
Certification date
Oct 2, 2025
Last updated
Oct 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional RadiologyA156874CAYes

Practice location

1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941

Phone 916-535-2030 · Fax 916-536-3061

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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