MEDICARE: KRISTI NGO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101267956	VA

General Provider Information

NPI Number	:	1083111504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI NGO MD

Provider Business Mailing Address
First Line	:	PO BOX 37174
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3174
Country	:	US
Telephone Number	:	571-423-5699
Fax Number	:	571-423-5698

Provider Business Practice Location Address
First Line	:	7617 LITTLE RIVER TPKE STE 850
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-2673
Country	:	US
Telephone Number	:	571-665-6620
Fax Number	:	571-665-6621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	06/02/2026

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