Provider Demographics
NPI:1134689086
Name:FLOOD, DANIELLE (PHD, MD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:FLOOD
Suffix:
Gender:F
Credentials:PHD, MD
Other - Prefix:
Other - First Name:ELLE
Other - Middle Name:
Other - Last Name:FLOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MD
Mailing Address - Street 1:2500 DENNIS AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902
Mailing Address - Country:US
Mailing Address - Phone:540-687-0069
Mailing Address - Fax:
Practice Address - Street 1:31 CENTER DR #7A03
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-2113
Practice Address - Country:US
Practice Address - Phone:301-496-2263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101272618207RA0201X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology