Basic Information
| Provider Information | |||||||||
| NPI: | 1093133175 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KO | ||||||||
| FirstName: | HUAISING | ||||||||
| MiddleName: | CINDY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PHR GROUP PROVIDER ENROLLMENT UNIT | ||||||||
| Address2: | 393 E WALNUT ST GPEU FL 3SCPMG | ||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911880001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8776080044 | ||||||||
| FaxNumber: | 8775140903 | ||||||||
| Practice Location | |||||||||
| Address1: | UW HOSPITAL AND CLINICS 600 HIGHLAND AVE | ||||||||
| Address2: | H4/831 | ||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537920001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6082635660 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2014 | ||||||||
| LastUpdateDate: | 12/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0203X | 65043-20 | WI | Y | Allopathic & Osteopathic Physicians | Radiology | Therapeutic Radiology |
No ID Information.