Provider Demographics
NPI:1679507719
Name:THAI-KEMPROWSKI, HUONG NGOC (MD)
Entity Type:Individual
Prefix:DR
First Name:HUONG
Middle Name:NGOC
Last Name:THAI-KEMPROWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19465 DEERFIELD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-1702
Mailing Address - Country:US
Mailing Address - Phone:703-726-9720
Mailing Address - Fax:703-726-9721
Practice Address - Street 1:19465 DEERFIELD AVE
Practice Address - Street 2:STE 101
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-726-9720
Practice Address - Fax:703-726-9721
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101226042207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010129141Medicaid
VAI23374Medicare UPIN