Individual
EUN-MI PARK
Active
Individual
EUN-MI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5704
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002699
—
NV
01
—
V24262
LAB
NV
01
—
VWCGZT
MEDICARE GROUP
NV
Enumeration date
02/09/2006
Last updated
08/29/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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