MEDICARE: DR. GARRY W HO MD

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	207Q00000X	Family Medicine Physician	0101236828	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1558328534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARRY W HO MD

Provider Business Mailing Address
First Line	:	P. O. BOX 715868
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19171-5868
Country	:	US
Telephone Number	:	804-215-3063
Fax Number	:	804-968-1803

Provider Business Practice Location Address
First Line	:	8270 WILLOW OAKS CORP DRIVE
Second Line	:	SUITE 700
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4530
Country	:	US
Telephone Number	:	703-810-5228
Fax Number	:	571-407-5659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	03/23/2023

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