Benny Sp Ko in Indianapolis - Diagnostic Radiology

Benny Sp Ko - NPI 1912038597

Benny Sp Ko is a Diagnostic Radiology in Indianapolis, Indiana. Benny Sp Ko practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Benny Sp Ko is 1912038597. The last update date is 2013-03-15.

Benny Sp Ko's current location address is 3660 Guion Rd, Indianapolis, Indiana. You can contact this provider via phone number 3179207139 and fax number 3179207229. The mailing address for Benny Sp Ko is 3660 Guion Rd, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Benny Sp Ko
Address 3660 Guion Rd, Indianapolis, Indiana
Phone Number 3179207139
Fax Number 3179207229
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912038597
Provider Enumeration Date 2007-03-08
Last Updated Date 2013-03-15

Provider Mailing Address Detail

Address 3660 Guion Rd
City Indianapolis
State Indiana (IN)
Post Code 462221616
Phone Number 3179207139
Fax Number 3179207229

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 01024080A
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00960535 IN RR MEDICARE
703094 IN ANTHEM
100381260A IN --

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FAQs about Benny Sp Ko

What is the Benny Sp Ko's 1912038597?

The Benny Sp Ko's NPI (National Provider Identifier) Number is 1912038597. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Benny Sp Ko is physically located?

The Benny Sp Ko is situated at the following address: 3660 Guion Rd, Indianapolis, IN 462221616.

What is Benny Sp Ko's specialized field of practice, and what is the corresponding taxonomy classification code?

The Benny Sp Ko's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912038597 to Benny Sp Ko?

The Centers for Medicare & Medicaid Services assigned the 1912038597 to Benny Sp Ko on 2007-03-08.

As of what date was the information pertaining to Benny Sp Ko, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Benny Sp Ko, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-03-15.

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