Individual
DR. CHIN HO PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 W ROOSEVELT BLVD, MONROE, NC 28110-2818
(704) 296-6200
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200300514
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084P0800X
—
NC
05
—
891335T
—
NC
Enumeration date
11/01/2006
Last updated
11/27/2023
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