Provider Demographics
NPI:1104169358
Name:FLOUDAS, CHARALAMPOS (MD)
Entity type:Individual
Prefix:DR
First Name:CHARALAMPOS
Middle Name:
Last Name:FLOUDAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DRIVE BLDG 10 RM B2L312
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-435-5665
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DRIVE BLDG 10 RM 7N240A
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:240-474-1575
Practice Address - Fax:301-480-0074
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD82104207RX0202X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1104169358OtherNPI NUMBER