Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D82104 | MD |
N | 111NI0900X | Internist | D82104 | MD |
Y | 207RX0202X | Medical Oncology | D82104 | MD |
NPI | 1104169358 |
---|---|
Provider Name | Dr. Charalampos Floudas |
First Address | Bethesda, MD 20892-0001 |
Second Address | Bethesda, MD 20892-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 22/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1104169358 | NPI NUMBER (01) | MD |