Individual
STEPHEN KO
Active
Individual
STEPHEN KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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