National Provider Identifier Database

DONG S PARK, MD – NPI #1699700021
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

DONG S PARK, MD
485 W MARKET ST
TIFFIN, OH44883
Phone: 419-447-3130
Fax: 419-447-3155
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for DONG S PARK

NPI Number 1699700021
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 11/02/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 35041526P
  • OH Medicaid: 0359400
  • OH Other: 000000024792 BCBS GROUP PIN
  • OH Other: 9122391 GROUP
  • OH Other: CK3646 MEDICARE RR GROUP PIN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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