Search › Virginia › Interventional Pain Medicine Physician
Su Min Ko, M.D
NPI 1336375450 · on the registry since 2009
Practice
- Address
- 11166 Fairfax Blvd
Suite 105
Fairfax, VA 22030 - Phone
- (703) 277-3360
- Fax
- (703) 277-3370
- Organisation at this address
- Pig Llc
Therapy Cafe Llc
The Eden Healthcare
Keith J Wilson Dds Pc
Consultant Corner LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- Interventional Pain Medicine Physician
208VP0014X
- Also registered as
- Physical Medicine & Rehabilitation Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician - Licence states on file
- VA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia