Provider Demographics
NPI:1508041187
Name:PARK, MEYEON (MD)
Entity Type:Individual
Prefix:DR
First Name:MEYEON
Middle Name:
Last Name:PARK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Mailing Address - Street 2:521 PARNASSUS AVENUE, C443, BOX 0532
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-1812
Mailing Address - Fax:415-476-3381
Practice Address - Street 1:521 PARNASSUS AVE
Practice Address - Street 2:DIVISION OF NEPHROLOGY, C443, BOX 0532
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2206
Practice Address - Country:US
Practice Address - Phone:415-476-1812
Practice Address - Fax:415-476-3381
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2012-02-10
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Provider Licenses
StateLicense IDTaxonomies
CAA107145207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology