Provider Demographics
NPI:1750394755
Name:LANGLEY, ROY WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:WILLIAM
Last Name:LANGLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3201 JERMANTOWN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2881
Mailing Address - Country:US
Mailing Address - Phone:703-849-8440
Mailing Address - Fax:
Practice Address - Street 1:3201 JERMANTOWN RD
Practice Address - Street 2:SUITE 250
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2881
Practice Address - Country:US
Practice Address - Phone:703-849-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101236752207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAI19470Medicare UPIN