# OK H. PARK, M.D., L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356374151
- **Authorized official:** OK H. PARK M.D. (OWNER)
- **Authorized official phone:** (410) 918-9007

## Contact information

- **Practice address:** 9110 PHILADELPHIA RD, SUITE 213, BALTIMORE, MD 21237-4301
- **Practice address phone:** (410) 918-9007
- **Practice address fax:** (410) 918-9011
- **Mailing address:** 9110 PHILADELPHIA RD, SUITE 213, BALTIMORE, MD 21237-4301
- **Mailing address phone:** (410) 918-9007
- **Mailing address fax:** (410) 918-9011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 11/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 406613800 | — | MD |
| 01 | — | 767APA | CAREFIRST | MD |
| 01 | — | DD8163 | RAILROAD MEDICARE | GA |
| 01 | — | J727 | CAREFIRST | DC |