Provider Demographics
NPI:1497157770
Name:CHALOUHY, CHARBEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARBEL
Middle Name:
Last Name:CHALOUHY
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 1:929 N WOLFE ST
Mailing Address - Street 2:APT 1501
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1132
Mailing Address - Country:US
Mailing Address - Phone:773-537-5603
Mailing Address - Fax:
Practice Address - Street 1:720 RUTLAND AVE
Practice Address - Street 2:ROSS 765
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2109
Practice Address - Country:US
Practice Address - Phone:773-537-5603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZCH/866204F00000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery