Provider Demographics
NPI:1629032784
Name:CHO, WON KYOO (MD)
Entity Type:Individual
Prefix:
First Name:WON
Middle Name:KYOO
Last Name:CHO
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 1:44055 RIVERSIDE PKWY STE 226
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5177
Mailing Address - Country:US
Mailing Address - Phone:703-858-6202
Mailing Address - Fax:703-858-8160
Practice Address - Street 1:44055 RIVERSIDE PKWY STE 226
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5177
Practice Address - Country:US
Practice Address - Phone:703-858-6202
Practice Address - Fax:703-858-8160
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047733207RG0100X
VA0101267805207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200162410Medicaid
IN264910W8Medicare ID - Type Unspecified