Provider Demographics
NPI:1073769659
Name:CHARALAMBOPOULOS, JOHN (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:CHARALAMBOPOULOS
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 1:700 S WASHINGTON ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4252
Mailing Address - Country:US
Mailing Address - Phone:703-528-8260
Mailing Address - Fax:703-528-8267
Practice Address - Street 1:700 S WASHINGTON ST
Practice Address - Street 2:SUITE 330
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4252
Practice Address - Country:US
Practice Address - Phone:703-528-8260
Practice Address - Fax:703-528-8267
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101246141207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine