Individual
KHOA DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 741-4171
(978) 741-4283
Mailing address
55 HIGHLAND AVE, STE. 304, SALEM, MA 01970-2185
(978) 741-4171
(978) 741-4283
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
158958
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011376
—
MA
Enumeration date
09/29/2005
Last updated
10/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us