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Contact Information

CHANDLER H PARK, M.D., MSC
1263 HOSPITAL DR NW STE 110
CORYDON, IN47112-2173
 Phone: 812-734-0912
 Fax: 502-629-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHANDLER H PARK · (Male)

NPI # 1417137365
Status Active
Credentials M.D., MSC
Entity Individual
Enumeration date 11/08/2007
Last updated 11/18/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 48923
  • IN Medicaid 201083260
  • IN Other P01150420 RAILROAD MEDICARE
  • OH Other 57.013780 CREDENTIAL NUMBER
Hospital affiliation(s)
  • CLARK MEMORIAL HOSPITAL - (Acute Care)
    1220 MISSOURI AVE
    JEFFERSONVILLE, IN 47130
  • FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES - (Acute Care)
    1850 STATE ST
    NEW ALBANY, IN 47150
  • HARDIN MEMORIAL HOSPITAL - (Acute Care)
    913 NORTH DIXIE AVENUE
    ELIZABETHTOWN, KY 42701
  • HARRISON COUNTY HOSPITAL - (Critical Access)
    1141 HOSPITAL DR NW
    CORYDON, IN 47112
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
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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