MEDICARE: SMITH S. HO, MD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D21900	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	83167	OTHER	MAMSI
4	456144	OTHER	AETNA PPO
5	90732	OTHER	AETNA HMO

General Provider Information

NPI Number	:	1942205398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH S. HO, MD, PA

Provider Business Mailing Address
First Line	:	7610 CARROLL AVE
Second Line	:	STE 280
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6302
Country	:	US
Telephone Number	:	301-891-6100
Fax Number	:	301-891-5836

Provider Business Practice Location Address
First Line	:	7610 CARROLL AVE
Second Line	:	STE 280
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6302
Country	:	US
Telephone Number	:	301-891-6100
Fax Number	:	301-891-5836

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SMITH S HO
Credential	:	MD
Telephone Number	:	301-891-6100

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/09/2008

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Directions to “SMITH S. HO, MD, PA ” Practice Location

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