Provider Demographics
NPI:1437118817
Name:APGAR, LESLIE A (MD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:A
Last Name:APGAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8945 GUILFORD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2659
Mailing Address - Country:US
Mailing Address - Phone:410-997-8444
Mailing Address - Fax:410-997-8832
Practice Address - Street 1:8945 GUILFORD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2659
Practice Address - Country:US
Practice Address - Phone:410-997-8444
Practice Address - Fax:410-997-8832
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056176207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0031OtherCAREFIRST-DC
MD609079-04OtherCAREFIRST-MD
MD404222100Medicaid
MD0031OtherCAREFIRST-DC
MD404222100Medicaid