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DR. HYO-JONG PARK M.D. NPI 1295732808


NPI Information

NPI: 1295732808
Provider Name: DR. HYO-JONG PARK, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
2460 W HORIZON RIDGE PKWY
HENDERSON, NV
ZIP 89052
Phone: (702) 822-2000
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DR. Hyo-jong Park, M.D. is a hematology and oncology internal medicine in Henderson, NV. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Hyo-jong Park, M.D. NPI is 1295732808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2460 W HORIZON RIDGE PKWY
HENDERSON, NV
ZIP 89052-648
Phone: (702) 822-2000
Fax: (702) 938-2237

The enumeration date for this NPI number is 6/29/2005 and was last updated on 3/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & Oncology5705NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1179839MEDICAIDARIZONA
221169MEDICARE PINARIZONA
330007MEDICARE PINNEVADA
4080107302OTHERNEVADARAILROAD MEDICARE
5002002611MEDICAIDNEVADA
6900001899OTHERARIZONARAILROAD MEDICARE
7D73805MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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