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Individual

DR. PIYAPONG VONGKOVIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 2ND ST NE, WASHINGTON, DC 20002-8100
(202) 346-3700
(202) 346-3702
Mailing address
7811 FOX GATE CT, BETHESDA, MD 20817-4100
(202) 346-3700
(202) 346-3702

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101244938
VA
207RH0003X
Hematology & Oncology Physician
Primary
36611
NC
207RH0003X
Hematology & Oncology Physician
D68503
MD
207RH0003X
Hematology & Oncology Physician
MD038146
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85112
BLUE CROSS
NC
05
8985112
NC
Enumeration date
06/16/2005
Last updated
06/28/2021
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