Individual provider · Type 1 NPI

Su Min Ko, MD

Interventional Pain Medicine Physician · Fairfax, VA

NPI number 1336375450 Active

Practice location

11166 Fairfax Blvd, Suite 105
Fairfax, VA 22030-5017

Call (703) 277-3360 Map

Fax (703) 277-3370

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014X0101250991 (VA)
Physical Medicine & Rehabilitation Physician 208100000X2009001606 (MO)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X2009001606 (MO)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X0101250991 (VA)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1336375450

Su Min Ko, MD's National Provider Identifier is 1336375450, issued on Jun 3, 2009. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Fairfax, VA. The record was last updated on Feb 20, 2017.