Dr. Hee Chull Park, MD
Internal Medicine in Des Moines, IA. Individual provider (NPI-1).
NPI number1124129564
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124129564
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hee Chull Park
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 22559 | IA | Yes |
Practice location
3600 30th StreetVa Medical Center
Des Moines, IA 50310
Phone 515-699-5825
Mailing address
15422 Clearview LaneUrbandale, IA 50323
Phone 515-987-6764 · Fax 515-699-5906
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All 233 Internal Medicine Physician providers in Des Moines · All 6,858 providers in Des Moines
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