Chan M Park is a Family Medicine in Ridgeway, Virginia. Chan M Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Chan M Park is 1457467037. The last update date is 2007-07-08.
Chan M Park's current location address is 6460 Greensboro Rd, Ridgeway, Virginia. You can contact this provider via phone number 2769562047 and fax number 2769561637. The mailing address for Chan M Park is 6460 Greensboro Rd, Ridgeway, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chan M Park |
|---|---|
| Address | 6460 Greensboro Rd, Ridgeway, Virginia |
| Phone Number | 2769562047 |
| Fax Number | 2769561637 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457467037 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6460 Greensboro Rd |
|---|---|
| City | Ridgeway |
| State | Virginia (VA) |
| Post Code | 241483478 |
| Phone Number | 2769562047 |
| Fax Number | 2769561637 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101229138 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10011019 | VA | -- | |
| 463669 | VA | ANTHEM, BCBS OF VIRGINIA | |
| A1738 | MEDCOST PREFERRED | ||
| 3506280 | CIGNA | ||
| 5372768 | AETNA | ||
| 2108815 | MAMSI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Chan M Park by the Centers for Medicare & Medicaid Services?
The Chan M Park has been issued the NPI (National Provider Identifier) 1457467037 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Chan M Park?
The Chan M Park is situated at 6460 Greensboro Rd, in the city of Ridgeway, state of VA, with the zip code 241483478.
What is Chan M Park's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chan M Park's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457467037 to Chan M Park?
The Centers for Medicare & Medicaid Services originally issued the 1457467037 to Chan M Park on 2006-08-23.
As of what date was the information pertaining to Chan M Park, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Chan M Park, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.