Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101238627 | VA |
N | 111NI0900X | Internist | 0101238627 | VA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101238627 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101238627 | VA |
NPI | 1275516320 |
---|---|
Provider Name | Dr. Michael Casey Flanagan |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 25/10/2021 |