Dr. Su Min Ko, MD
Dr. Su Min Ko, MD is a Physical Medicine and Rehabilitation in Fairfax, Virginia. Qualified in 1996, 30 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Missouri and Virginia.
- Years since qualifying
- 30
- Licensed in
- MO, VA
- In the registry since
- 2009
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
11166 Fairfax Blvd Ste 105Fairfax, VA 22030-5017
Phone: (703) 277-3360
Fax: (703) 277-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 0101250991 (VA) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 2009001606 (MO) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X · Licence 2009001606 (MO) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X · Licence 0101250991 (VA) |
Record details
| NPI number | 1336375450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 3, 2009 |
| Last updated in NPPES | February 20, 2017 |
| Mailing address | 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030-5017 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Fairfax
-
David Kim, MD
10721 Main St Ste 304, Fairfax, VA 22030-6902 · (703) 349-4205
-
Physical Medicine Associates, Ltd
8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 · (703) 914-8000