| Soon Park, MD | |
|
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
| (513) 672-3309 | |
| (513) 672-3323 |
| Full Name | Soon Park |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 85 N Grand Ave, Fort Thomas, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104819135 | NPI | - | NPPES |
| 64188238 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 18823 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Soon Park, MD 11490 Springfield Pike, Cincinnati, OH 45246-3524 Ph: (513) 672-3309 | Soon Park, MD 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (513) 672-3309 |
Lydia Chantilas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Arturo Sia, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Damian Francis Dolan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3232 Fax: 859-572-3727 |