| Chanhi Park, MD | |
|
2602 Buford Rd, North Chesterfield, VA 23235-3422 | |
| (804) 272-8806 | |
| (804) 272-2909 |
| Full Name | Chanhi Park |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2602 Buford Rd, North Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881677854 | NPI | - | NPPES |
| 25527 | Other | FL | BC BS OF FLORIDA |
| 269912500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME66655 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101231753 (Virginia) | Primary |
| Entity Name | Womens Care Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanhi Park, MD 2602 Buford Rd, North Chesterfield, VA 23235-3422 Ph: (804) 272-8806 | Chanhi Park, MD 2602 Buford Rd, North Chesterfield, VA 23235-3422 Ph: (804) 272-8806 |
Qiong Han, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 | |
Richard S. Pergolizzi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 | |
Farshid Bozorgi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 | |
Veer Monish Gariwala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 | |
Kofi-buaku Atsina, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 | |
Allisa Rogers, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 9740 Midlothian Tpke, North Chesterfield, VA 23235 Phone: 804-601-2500 | |
Jonathan Chahin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 |