Individual
STEPHEN KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2306
(808) 522-0190
(808) 523-9068
Mailing address
321 N KUAKINI ST, SUITE 405, HONOLULU, HI 96817-2364
(808) 522-0190
(808) 523-9068
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD11118
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049493001
—
HI
05
—
0049493002
—
HI
01
—
00A0224616
QUEST HMSA
HI
01
—
00B0224614
QUEST HMSA
HI
01
—
103802483
US MARSHALL SVC-FED DET C
HI
01
—
108-2145098
AETNA
HI
01
—
204243800
US LABOR DEPT
HI
01
—
300113204
PALMETTO GBA
HI
01
—
494930-01
ST DEPT OF PUB SAFETY
HI
01
—
494930-02
ST DEPT OF PUB SAFETY
HI
01
—
990157698-96701-B010
TRICARE
HI
01
—
990157698-96817-E010
TRICARE
HI
01
—
990157698009
HI ELEC
HI
01
—
A224616
HMSA
HI
01
—
B224614
HMSA
HI
01
—
MD11118
QUEENS HEALTHCARE
HI
Enumeration date
04/19/2006
Last updated
02/07/2017
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