Individual
DR. MELVIN WOODAO KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 386-6850
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
0101237584
VA
2084N0600X
Clinical Neurophysiology Physician
Primary
D62651
MD
2084N0600X
Clinical Neurophysiology Physician
MD035375
DC
Other
Enumeration date
12/27/2006
Last updated
06/27/2021
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