Provider Demographics
NPI:1508964826
Name:WONG, ROY KH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:KH
Last Name:WONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8801 QUIET STREAM CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4231
Mailing Address - Country:US
Mailing Address - Phone:202-782-7256
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE BLDG 9, GASTROENTEROLOGY SERVICE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0003
Practice Address - Country:US
Practice Address - Phone:301-400-0539
Practice Address - Fax:301-295-5370
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0076680207RG0100X
DCMD11088207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology