Park, Kun Tae

Park, Kun Tae is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Park, Kun Tae can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X A104493 California

Profile Details

NPI number 1174785968
LBN Legal business name Park, Kun Tae
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Oct 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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