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DR. MICHELLE M PARK MD NPI 1376533943


NPI Information

NPI: 1376533943
Provider Name: DR. MICHELLE M PARK, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
3410 N 4TH AVE
PHOENIX, AZ
ZIP 85013
Phone: (602) 241-1944
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DR. Michelle M Park, MD is an internal medicine in Phoenix, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Michelle M Park, MD NPI is 1376533943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3410 N 4TH AVE
PHOENIX, AZ
ZIP 85013-905
Phone: (602) 241-1944
Fax: (602) 241-1917

The enumeration date for this NPI number is 10/25/2005 and was last updated on 5/29/2008.


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
1207R00000XInternal Medicine29441ARIZONAYes

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
1H59270MEDICARE UPINARIZONA
2Z82290MEDICARE PINARIZONA
3AZ0155910OTHERARIZONABCBS OF AZ
4694697MEDICAIDARIZONA
5104635MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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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