Provider Demographics
NPI:1508395617
Name:VO, SON (MD)
Entity Type:Individual
Prefix:DR
First Name:SON
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NORTH CAROLINA STREET
Mailing Address - Street 2:SUITE 4237A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-502-9933
Mailing Address - Fax:410-955-8597
Practice Address - Street 1:601 NORTH CAROLINA STREET
Practice Address - Street 2:SUITE 4237A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-502-9933
Practice Address - Fax:410-955-8597
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017016931207R00000X
VA01160316222085R0202X
MDD934642085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD93464OtherMD LICENSE