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Organization
OK H. PARK, M.D., L.L.C.
Active
Organization
OK H. PARK, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OK H. PARK M.D. (OWNER)
(410) 918-9007
Entity
Organization
Contact information
Practice address
9110 PHILADELPHIA RD, SUITE 213, BALTIMORE, MD 21237-4301
(410) 918-9007
(410) 918-9011
Mailing address
9110 PHILADELPHIA RD, SUITE 213, BALTIMORE, MD 21237-4301
(410) 918-9007
(410) 918-9011
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406613800
—
MD
01
—
767APA
CAREFIRST
MD
01
—
DD8163
RAILROAD MEDICARE
GA
01
—
J727
CAREFIRST
DC
Enumeration date
07/08/2006
Last updated
11/13/2007
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