Provider Demographics
NPI:1023823390
Name:FLESHER, EVAN
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:
Last Name:FLESHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 MIDVALE AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4335
Mailing Address - Country:US
Mailing Address - Phone:443-816-3726
Mailing Address - Fax:
Practice Address - Street 1:8028 RITCHIE HWY STE 120
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1069
Practice Address - Country:US
Practice Address - Phone:410-590-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program