Provider Demographics
NPI:1568523231
Name:SOHN, YUNGGYO (MD)
Entity Type:Individual
Prefix:DR
First Name:YUNGGYO
Middle Name:
Last Name:SOHN
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 1:2015 HICKORY HILL LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5808
Mailing Address - Country:US
Mailing Address - Phone:301-871-1978
Mailing Address - Fax:202-291-2222
Practice Address - Street 1:6323 GEORGIA AVE NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1101
Practice Address - Country:US
Practice Address - Phone:202-291-0126
Practice Address - Fax:202-291-0370
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD25919207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMD25919OtherDC MEDICAL LICENSE
DCMD25919OtherDC MEDICAL LICENSE
SO333810Medicare ID - Type Unspecified