BENNY SP KO M.D. NPI 1912038597

NPI Information

NPI: 1912038597
Provider Name: BENNY SP KO, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3660 GUION RD
STE 101
INDIANAPOLIS, IN
ZIP 46222
Phone: (317) 920-7139
Get Directions

Benny Sp Ko, M.D. is a diagnostic radiology radiology in Indianapolis, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Benny Sp Ko, M.D. NPI is 1912038597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3660 GUION RD
STE 101
INDIANAPOLIS, IN
ZIP 46222-616
Phone: (317) 920-7139
Fax: (317) 920-7229

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	01024080A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000703094	OTHER	INDIANA	ANTHEM
2	P00960535	OTHER	INDIANA	RR MEDICARE
3	M40045947	MEDICARE PIN	INDIANA
4	B29698	MEDICARE UPIN
5	100381260A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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