Provider Demographics
NPI:1699744292
Name:MARKOVIC, KAREN CLARKE (PA)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:CLARKE
Last Name:MARKOVIC
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Gender:F
Credentials:PA
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Mailing Address - Street 1:9101 FRANKLIN SQUARE DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3936
Mailing Address - Country:US
Mailing Address - Phone:443-777-2000
Mailing Address - Fax:866-857-9388
Practice Address - Street 1:9101 FRANKLIN SQUARE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3936
Practice Address - Country:US
Practice Address - Phone:443-777-2000
Practice Address - Fax:866-857-9388
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-06-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P25974Medicare UPIN