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Individual

DR. HABEEBA PARK

Active
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Individual

DR. HABEEBA PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101271735
VA
208600000X
Surgery Physician
62981
TN
208600000X
Surgery Physician
P21944
MD
2086S0102X
Surgical Critical Care Physician
0101271735
VA
2086S0102X
Surgical Critical Care Physician
Primary
62981
TN
2086S0127X
Trauma Surgery Physician
62981
TN

Other

Enumeration date
08/26/2007
Last updated
03/17/2026
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