Benjamin Park, MD, PHD
Benjamin Park, MD, PHD is an Interventional Radiology in Stanford, California. Graduated from Illinois Medical College in 2019, 7 years ago. Practices with Newport Harbor Radiology Associates Medical Group Inc, a 70-clinician group and accepts Medicare assignment.
- Years since qualifying
- 7
- Trained at
- Illinois Medical College
- In the registry since
- 2019
What do these letters mean?
Practice location Address checks out
Stanford, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1992267587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , PHD |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2019 |
| Last updated in NPPES | September 8, 2020 |
| Certification date | September 6, 2020 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL RADIOLOGY |
|---|---|
| Medical school | ILLINOIS MEDICAL COLLEGE |
| Graduated | 2019 (7 years in practice) |
| Group practice | Newport Harbor Radiology Associates Medical Group Inc — 70 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 14 on file with Medicare |
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