Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ok Kyu Song, MD

Individual provider Diagnostic Radiology Physician · NPI 1568275931

Ok Kyu Song, MD is a Diagnostic Radiology in Stanford, California. Qualified in 2014, 12 years ago. Works from 2 locations. Licensed in California and Massachusetts.

Years since qualifying
12
Licensed in
CA, MA
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2696 — (617) 726-2000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence SPI966 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 3017713 (MA)

Record details

NPI number1568275931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Stanford