Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REENA PARK, MD
ActiveREENA PARK, MD is a Student (Health Education/Training) healthcare provider located in INDIANAPOLIS, Indiana. NPI 1073208047 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1073208047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2023 (3.3790277405605 yrs)
- Last Updated
- Nov 26, 2025
- License
-
01097515A (IN)
Practice Information
- Address
-
1701 N SENATE BLVDINDIANAPOLIS, IN, 462021239Browse IN providers · Browse ZIP 46202
- Phone
- 3179625975
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Emergency Medicine
Other Student (Health Education/Training) Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| JENNIFER JEAN WATTERS | MD, DPT | 1962618108 |
| JASON ANDREW COSGROVE | M.D. | 1598976649 |
| MRS. KIMBERLY KAY HALL | — | 1154596492 |
| DR. FREDRICK CHITE ASIRWA | MD | 1427215052 |
| DR. BRYAN JAMES DICKEN | M.D. | 1003073651 |
| ANANTACHOTE VIMUKTANANDANA | M.D. | 1003074451 |
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.