Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAN M PARK, M.D.
Active Sole ProprietorCHAN M PARK, M.D. is a Family Medicine healthcare provider located in RIDGEWAY, Virginia. NPI 1457467037 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RIDGEWAY, VA
Registration Details
- NPI Number
- 1457467037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2006 (19.972621682833 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0101229138 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6460 GREENSBORO RDRIDGEWAY, VA, 241483478Browse VA providers · Browse ZIP 24148
- Phone
- 2769562047
- Fax
- 2769561637
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in RIDGEWAY, VA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL G WATERS | M.D. | 1417915547 |
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.