Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chan Park MD Inc

Organization Family Medicine Physician · NPI 1104865849

Chan Park MD Inc is a Family Medicine Physician in Slatersville, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

905 Victory Hwy
Slatersville, RI 02876
Phone: (401) 762-2728
Fax: (401) 762-0473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD5083 (RI)

Record details

NPI number1104865849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chan Park — Owner · (401) 762-2728
NPI enumeratedJune 6, 2006
Last updated in NPPESFebruary 26, 2008
Mailing addressPo Box 177, 905 Victory Hwy, Slatersville, RI 02876

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