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NPI Code Detail

MEDICARE: OK H. PARK, M.D., L.L.C.

MEDICARE: OK H. PARK, M.D., L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DD8163OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J727OTHERDCCAREFIRST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4767APAOTHERMDCAREFIRST

General Provider Information

NPI Number : 1356374151
Entity Type Code : Organization
Provider Name (Legal Business Name) : OK H. PARK, M.D., L.L.C.
Provider Business Mailing Address
First Line : 9110 PHILADELPHIA RD
Second Line : SUITE 213
City : BALTIMORE
State : MD
Zip : 21237-4301
Country : US
Telephone Number : 410-918-9007
Fax Number : 410-918-9011
Provider Business Practice Location Address
First Line : 9110 PHILADELPHIA RD
Second Line : SUITE 213
City : BALTIMORE
State : MD
Zip : 21237-4301
Country : US
Telephone Number : 410-918-9007
Fax Number : 410-918-9011
Authorized Official
Title or Position : OWNER
Name : OK H. PARK
Credential : M.D.
Telephone Number : 410-918-9007
Provider Enumeration Date : 07/08/2006
Last Update Date : 11/13/2007

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Directions to “OK H. PARK, M.D., L.L.C. ” Practice Location

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