Soo Woong Park, M.D

NPI: 1205833910

Soo Woong Park, M.D

Q: What is Soo Woong Park's NPI number?

Soo Woong Park's NPI number is 1205833910, a unique 10-digit identifier issued by CMS.

Q: What does Soo Woong Park specialize in?

Soo Woong Park specializes in Internal Medicine, taxonomy code 207R00000X.

Q: Where does Soo Woong Park practice?

Soo Woong Park practices in Fairfax, VA 22030-3811.

Q: When was Soo Woong Park's NPI issued?

Soo Woong Park's NPI was issued on July 7, 2005.

Q: What is Soo Woong Park's provider type?

Soo Woong Park is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderInternal Medicine

NPI issued: July 7, 2005

Quick Facts

NPI Number

1205833910

TypeIndividual

StatusActive

SpecialtyInternal Medicine

Taxonomy207R00000X — Internal Medicine

Phone

(703) 273-6802

StateVA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1205833910)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 7, 2005)

Data source: CMS NPPES

Provider Overview

SOO WOONG PARK, M.D is a Internal Medicine provider based in Fairfax, VA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1205833910

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusActive

Enumeration DateJuly 7, 2005

Practice Location

CityFairfax

StateVA

ZIP Code22030-3811

Phone(703) 273-6802

Specialties & Licenses

★ Primary

SpecialtyInternal Medicine

Taxonomy Code207R00000X

License StateVA

Mailing Address

CityFairfax

StateVA

ZIP Code22030-3811

Phone(703) 273-6802

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1205833910 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1205833910for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1205833910 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Internal Medicine

Internal Medicine physicians (internists) specialize in the prevention, diagnosis, and nonsurgical treatment of adult illnesses, managing complex chronic conditions and multi-system diseases.

Browse all Internal Medicineproviders →

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Internal Medicine Providers in the US