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Chan Park MD Inc

Family Medicine Physician in Slatersville, RI · enumerated 2006 · authorized official Chan Park, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104865849

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Registry record

Entity type Organization (Type 2)
Legal business name Chan Park MD Inc
Practice address 905 Victory Highway, Slatersville, RI, 02876
Phone (401) 762-2728
Fax (401) 762-0473
Enumeration date Jun 6, 2006
Last updated in NPPES Feb 26, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD5083 (RI) Primary

Authorized official

Name Chan Park
Title Owner
Phone (401) 762-2728

Other identifiers

Identifier Type State Issuer
12601 Other RI BLUE CROSS BLUE SHIELD
9001260 Medicaid RI -
001727 Other RI BCBS BLUE CHIP
404332 Other - TUFTS
AA26737 Other - HAVARD PILGRIM
0101561 Other MA EVERCARE
0100118 Other - UNITED HEALTHCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Chan Park MD Inc?
NPPES lists Chan Park (Owner) as the authorized official for this organization.
What is the NPI number for Chan Park MD Inc?
The NPI for Chan Park MD Inc is 1104865849, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-26.