Healthcare Provider Details

I. General information

NPI: 1396882551
Provider Name (Legal Business Name): GEORGE P KUO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE JOHNS HOPKINS HOSPITAL 600 NORTH WOLFE STREET
BALTIMORE MD
21287-0001
US

IV. Provider business mailing address

PO BOX 64358
BALTIMORE MD
21264-4358
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-6500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD0063956
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: