Healthcare Provider Details

I. General information

NPI: 1992495980
Provider Name (Legal Business Name): SUNG HO HONG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: THOMAS HONG

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date: 03/25/2025
Reactivation Date: 03/31/2025

III. Provider practice location address

8901 ROCKVILLE PIKE RM 3607
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE RM 3607
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-0977
  • Fax:
Mailing address:
  • Phone: 301-400-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0102210340
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: