Provider Demographics
NPI:1326079278
Name:FLASAR, MARK H (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:H
Last Name:FLASAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:820 BESTGATE RD
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3404
Mailing Address - Country:US
Mailing Address - Phone:410-224-2116
Mailing Address - Fax:410-224-2118
Practice Address - Street 1:820 BESTGATE RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3404
Practice Address - Country:US
Practice Address - Phone:410-224-2116
Practice Address - Fax:410-224-2118
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2015-10-16
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Provider Licenses
StateLicense IDTaxonomies
MDD60388207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP00015855Medicare PIN
MD402285800Medicaid
H86805Medicare UPIN
MDQ344Medicare PIN
MDS062-0207OtherCAREFIRST BC/BS