Healthcare Provider Details

I. General information

NPI: 1104169358
Provider Name (Legal Business Name): CHARALAMPOS FLOUDAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 04/22/2020
Certification Date: 04/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DRIVE BLDG 10 RM 7N240A
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

10 CENTER DRIVE BLDG 10 RM B2L312
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 240-474-1575
  • Fax: 301-480-0074
Mailing address:
  • Phone: 301-435-5665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD82104
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberD82104
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: