DR. TAE HWAN PARK MD - NPI 1639987001 - Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Tae Hwan Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAE HWAN PARK MD (NPI 1639987001) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1639987001

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. TAE HWAN PARKCredential: MD

Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001

Mailing Address50 N Medical DrSalt Lake City, UT 84132-0001 · (801) 581-8419

Phone(801) 581-8419

Sole ProprietorNo

Enumeration DateDecember 18, 2024

NPPES CertifiedDecember 18, 2024

✔ NPI 1639987001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

50 N MEDICAL DR, Salt Lake City, UT 84132

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