Brian Park
Physician Assistant in Germantown, MD. Individual provider (NPI-1).
NPI number1669929972
StatusActive
Last updated in NPPESSep 2, 2016
Details
- NPI
- 1669929972
- Entity type
- Individual (NPI-1)
- Name
- Brian Park
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2016
- Last updated
- Sep 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C06204 | MD | Yes |
Practice location
20010 Century BlvdSuite 200
Germantown, MD 20874-1115
Phone 240-686-2300
Mailing address
20010 Century BlvdSuite 200
Germantown, MD 20874-1115
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Germantown, MD
- Lauren Akande, PA-CNPI 1265206098
- Bradley Bailey, PA-CNPI 1164996245
- Alexandra Beach, PA-CNPI 1780105460
- Michael Burns, PHYSICIAN ASSISTANTNPI 1780278374
- Michael Luis Carrion, PA-CNPI 1982575627
- Mikhail V Domnine, PANPI 1659453454
- Moriah Ferullo, PANPI 1922813898
- Padma Gainedi, PANPI 1407043748
- Pavithra Gowda, PANPI 1174073332
- Thomas Glen Hettich, PA-CNPI 1992765747
All 44 Physician Assistant providers in Germantown · All 1,930 providers in Germantown
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.