Individual
BEN HO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 936-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
(615) 936-0605
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
58002
TN
207RH0003X
Hematology & Oncology Physician
Primary
58002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402085500
—
MD
Enumeration date
06/07/2006
Last updated
01/21/2024
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