Dr. Su Min Ko
Physical Medicine & Rehabilitation Doctor Pain Medicine
11166 Fairfax Blvd Suite 105
Fairfax
, Virginia 22030-5017
Dr. Su Min Ko
Physical Medicine & Rehabilitation Doctor Pain Medicine
11166 Fairfax Blvd Suite 105
Fairfax
, Virginia 22030-5017
(703) 277-3370
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Su Min Ko
- 11166 Fairfax Blvd Suite 105
- Fairfax, VA
- Zip : 22030-5017
- Fax : (703) 277-3370
- Phone : (703) 277-3360
Second Address
- Dr. Su Min Ko
- 11166 Fairfax Blvd Suite 105
- Fairfax, VA
- Zip : 22030-5017
- Fax : (703) 277-3370
- Phone : (703) 277-3360
Reviews
FAQs
Where did Dr. Su Min Ko attend graduate school?
Where did Dr. Su Min Ko do his residency?
Where did Dr. Su Min Ko do his fellowship?
Is Dr. Su Min Ko board certified?
In what state does Dr. Su Min Ko practice in?
Where is Dr. Su Min Ko ’s practice located?
What is Dr. Su Min Ko ’s gender?
Is Dr. Su Min Ko a sole practitioner?
Is Dr. Su Min Ko accepting new patients?
What languages does Dr. Su Min Ko speak?
Does Dr. Su Min Ko accept insurance?
Does Dr. Su Min Ko offers telemedicine?
What is Dr. Su Min Ko ’s professional license number?
What is Dr. Su Min Ko ’s NPI number?
Does Dr. Su Min Ko have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2009001606 | MO |
| N | 2081P2900X | Pain Medicine | 0101250991 | VA |
| N | 2081P2900X | Pain Medicine | 2009001606 | MO |
National Provider Identifier
| NPI | 1336375450 |
|---|---|
| Provider Name | Dr. Su Min Ko |
| First Address | Fairfax, VA 22030-5017 |
| Second Address | Fairfax, VA 22030-5017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2009 |
| Last Update Date | 20/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000640716 | BCBS (01) | MO |
| 1336375450 | (05) | MO |
| 2009001606 | MEDICAL LICENSE (01) | MO |
| 9496409 | AETNA (01) | MO |
| 98246 | HCUSA (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.