Provider Demographics
NPI:1245080704
Name:VLAHOS, ELEFTHERIOS GEORGE (DO, MPH)
Entity type:Individual
Prefix:
First Name:ELEFTHERIOS
Middle Name:GEORGE
Last Name:VLAHOS
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:EVAN
Other - Middle Name:
Other - Last Name:VLAHOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1500 PADDOCK CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2448
Mailing Address - Country:US
Mailing Address - Phone:704-240-7445
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10087336208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology