Provider Demographics
NPI:1831441468
Name:NGWANI, ROYEH ROY NYUGAP
Entity type:Individual
Prefix:
First Name:ROYEH ROY
Middle Name:NYUGAP
Last Name:NGWANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16375 MERCHANTS LN
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-5655
Mailing Address - Country:US
Mailing Address - Phone:540-413-3144
Mailing Address - Fax:540-413-3038
Practice Address - Street 1:16375 MERCHANTS LN
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-5655
Practice Address - Country:US
Practice Address - Phone:540-413-3144
Practice Address - Fax:540-413-3038
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
VA0202221816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No374U00000XNursing Service Related ProvidersHome Health Aide