Provider Demographics
NPI:1942205398
Name:SMITH S. HO, MD, PA
Entity Type:Organization
Organization Name:SMITH S. HO, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SMITH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-891-6100
Mailing Address - Street 1:7610 CARROLL AVE
Mailing Address - Street 2:STE 280
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6302
Mailing Address - Country:US
Mailing Address - Phone:301-891-6100
Mailing Address - Fax:301-891-5836
Practice Address - Street 1:7610 CARROLL AVE
Practice Address - Street 2:STE 280
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6302
Practice Address - Country:US
Practice Address - Phone:301-891-6100
Practice Address - Fax:301-891-5836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD21900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD187631700Medicaid
MD19246-1300Medicaid
83167OtherMAMSI
456144OtherAETNA PPO
90732OtherAETNA HMO
90732OtherAETNA HMO
DC132672Medicare PIN