Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN JIN-SUN PARK, MD
ActiveDR. SUSAN JIN-SUN PARK, MD is a Family Medicine healthcare provider located in RENO, Nevada. NPI 1003070640 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RENO, NV
Registration Details
- NPI Number
- 1003070640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2008 (18.04062173529 yrs)
- Last Updated
- Jun 21, 2021
- Licenses
-
13322 (NV)A98140 (CA)13322 (NV)
Practice Information
- Address
-
661 SIERRA ROSE DRRENO, NV, 89511Browse NV providers · Browse ZIP 89511
- Phone
- 7759828255
- Fax
- 7759828251
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in RENO, NV
| Name | Credential | NPI |
|---|---|---|
| DR. LESLIE A GREENBERG | MD | 1184629230 |
| JOHN RAEDER | DO | 1760480461 |
| DR. BRIAN J MCCORMACK | MD | 1932107471 |
| DR. JANE E KONAKIS | MD | 1215935762 |
| DR. RANDI GRINSELL | M.D. | 1710985262 |
| DR. DULYNN HASTINGS | M.D. | 1982605093 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.