Provider Demographics
NPI:1346320934
Name:ALLEN A FLOOD MD
Entity Type:Organization
Organization Name:ALLEN A FLOOD MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ACQUILLY
Authorized Official - Middle Name:NAKIDA
Authorized Official - Last Name:LIONEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-547-9001
Mailing Address - Street 1:650 PENNSYLVANIA AVE SE
Mailing Address - Street 2:#420
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003
Mailing Address - Country:US
Mailing Address - Phone:202-547-9090
Mailing Address - Fax:202-547-9092
Practice Address - Street 1:650 PENNSYLVANIA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003
Practice Address - Country:US
Practice Address - Phone:202-547-9090
Practice Address - Fax:202-547-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022971207N00000X
DCMD25800207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC022496400Medicaid
C62234Medicare UPIN
172647Medicare ID - Type Unspecified