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Contact Information

CHAN S PARK, MD
MICHUMI, PLLC DBA MED EXPRESS OF WILLIAMSBURG, VA
120 MONTICELLO AVE
WILLIAMSBURG, VA23185
 Phone: 757-564-3627
 Fax: 757-564-6449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CHAN S PARK · (Male)

NPI Number 1619940681
Status Active
Credentials MD
Entity Individual
Enumeration date 02/09/2006
Last updated 08/07/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101043881
  • VA Medicaid 010094321
  • VA Other P00153223 RRMED
Hospital affiliation(s) Not Available
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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