1619940681 NPI number — DR. CHAN S. PARK MD

Table of content: DR. CHAN S. PARK MD (NPI 1619940681)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619940681 NPI number — DR. CHAN S. PARK MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARK
Provider First Name:
CHAN
Provider Middle Name:
S.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619940681
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5508
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23471-0508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-340-3489
Provider Business Mailing Address Fax Number:
757-340-4278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MICHUMI, PLLC DBA MED EXPRESS OF WILLIAMSBURG, VA
Provider Second Line Business Practice Location Address:
120 MONTICELLO AVE
Provider Business Practice Location Address City Name:
WILLIAMSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-564-3627
Provider Business Practice Location Address Fax Number:
757-564-6449
Provider Enumeration Date:
02/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  0101043881 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010094321 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00153223 . This is a "RRMED" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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