Individual
DR. HABEEBA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604-6972
(423) 431-2477
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
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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