IndividualActive
Chan Park, MD, PHD
NPI 1932498722 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Las Vegas, NV
Provider details
- NPI number
- 1932498722
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 20992 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7190 S Cimarron Rd
Las Vegas, NV 89113-2171
Phone: (702) 675-3240
Fax: (702) 982-6347
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 33269
Phoenix, AZ 85067-3269
Registry dates
- Enumerated
- 2011-03-31
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.