Iko, Benny O

Iko, Benny O is an individual health care provider with primary practice located at 5812 Hannora Ln , Fairfax Station VA 22039-1428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Iko, Benny O can be contacted via phone (703) 764-8012.

Contact Information

Primary practice address
5812 Hannora Ln Fairfax Station VA 22039-1428
Phone: (703) 764-8012
Fax: (703) 463-1845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101046304 Virginia

Profile Details

NPI number 1922008325
LBN Legal business name Iko, Benny O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922008325 NPPES
Virginia MEDICAID 010144108

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