Provider Demographics
NPI:1326219429
Name:CHONG, JOHN YOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:YOHAN
Last Name:CHONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5900 FORT DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2425
Mailing Address - Country:US
Mailing Address - Phone:571-210-5535
Mailing Address - Fax:703-376-8865
Practice Address - Street 1:5900 FORT DR
Practice Address - Street 2:SUITE 301
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2425
Practice Address - Country:US
Practice Address - Phone:571-210-5535
Practice Address - Fax:703-376-8865
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2014-03-24
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Provider Licenses
StateLicense IDTaxonomies
VA0101243232207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology