Park, Sang H

Park, Sang H is an individual health care provider with primary practice located at 601 5Th St S , St Petersburg FL 33701-4804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Park, Sang H can be contacted via phone (727) 767-4176.

Contact Information

Primary practice address
601 5Th St S St Petersburg FL 33701-4804
Phone: (727) 767-4176
Fax: (727) 767-4379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X D75008 Maryland
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X R6070 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D75008 Maryland
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME156244 Florida

Profile Details

NPI number 1033378765
LBN Legal business name Park, Sang H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2008
Last updated Oct 11th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033378765 NPPES
Maryland MEDICAID 335433400

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