Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SU MIN KO, M.D.
ActiveDR. SU MIN KO, M.D. is a Interventional Vascular Surgery healthcare provider located in FAIRFAX, Virginia. NPI 1336375450 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · FAIRFAX, VA
Registration Details
- NPI Number
- 1336375450
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2009 (17.176685395183 yrs)
- Last Updated
- Feb 20, 2017
- Licenses
-
0101250991 (VA)2009001606 (MO)2009001606 (MO)0101250991 (VA)
Practice Information
- Address
-
11166 FAIRFAX BLVDSUITE 105FAIRFAX, VA, 220305017Browse VA providers · Browse ZIP 22030
- Phone
- 7032773360
- Fax
- 7032773370
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Pain Medicine (PM&R)
Other Interventional Vascular Surgery Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. RODNEY B DADE | MD | 1336117373 |
| DR. ROBERT HARRISON WAGNER | MD | 1457329997 |
| DR. MARINA PROTOPAPAS | D.O. | 1760448666 |
| BEVERLY A WHITTENBERG | MD | 1366483034 |
| DAVID KIM | MD | 1073530523 |
| AMGAD W ABDOU | M.D. | 1447384011 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.