Dr Chan H Park, MD is a
Internal Medicine physician based in Des Moines, Washington. Dr Chan H Park is licensed to practice in Arizona (license number 28108) and his current practice location is 22226 Cliff Ave S, #304, Des Moines, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 946-9365.
NPI number for Dr Chan H Park is 1700147378 and his current mailing address is 22226 Cliff Ave S, #304, Des Moines, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700147378.
Physician's Profile
| Full Name | Dr Chan H Park |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 22226 Cliff Ave S, Des Moines, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700147378
- Provider Enumeration Date: 05/30/2012
- Last Update Date: 05/30/2012
Medical Identifiers
Medical identifiers for Dr Chan H Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700147378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 28108 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chan H Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Chan H Park, MD
22226 Cliff Ave S, #304,
Des Moines, WA 98198-4619
Ph: (253) 946-9365 | Dr Chan H Park, MD
22226 Cliff Ave S, #304,
Des Moines, WA 98198-4619
Ph: (253) 946-9365 |
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