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NPI Code Detail

MEDICARE: YIH-SHYONG KO M.D.

MEDICARE: YIH-SHYONG KO M.D.
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
1207L00000XAnesthesiology PhysicianMD036519LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00692009OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982602181
Entity Type Code : Individual
Provider Name (Legal Business Name) : YIH-SHYONG KO M.D.
Provider Business Mailing Address
First Line : PO BOX 650782
Second Line :
City : DALLAS
State : TX
Zip : 75265-0782
Country : US
Telephone Number : 302-733-0806
Fax Number : 302-733-0854
Provider Business Practice Location Address
First Line : 211 N 12TH ST
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-1138
Country : US
Telephone Number : 215-442-5085
Fax Number : 877-329-2370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 01/25/2026

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Directions to “ YIH-SHYONG KO M.D.” Practice Location

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