Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SOO WOONG PARK, M.D.

Active Sole Proprietor

DR. SOO WOONG PARK, M.D. is a Internal Medicine healthcare provider located in FAIRFAX, Virginia. NPI 1205833910 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · FAIRFAX, VA

Registration Details

NPI Number: 1205833910
Provider Type: Individual
Gender: Male
NPI Issued: Jul 7, 2005 (21.070918691242 yrs)
Last Updated: Nov 13, 2009
License: 0101029694 (VA)
Sole Proprietor: Yes

Practice Information

Address: 10680 MAIN ST

STE 130

FAIRFAX, VA, 220303811
Browse VA providers · Browse ZIP 22030
Phone: 7032736802
Fax: 7032733960
Primary Specialty: Internal Medicine
207R00000X

Other Internal Medicine Providers in FAIRFAX, VA

Name	Credential	NPI
NARENDRA G DESAI	M.D.	1780687715
JOANN PFUNDSTEIN	M.D.	1912900598
ADIL ZAHOOR GHAURI	M.D.	1689671414
XIAOLAN ZHU	M.D.	1558369819
DR. DOLLY KOOI LENT	M.D.	1619979598
DR. SANDRA TIRADO	MD	1154315570

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.