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

Andrew Park, MD

Individual provider Anesthesiology Physician · NPI 1093331373

Andrew Park, MD is an Anesthesiology in Charleston, South Carolina. Graduated from Morehouse School of Medicine in 2020, 6 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group. Licensed in South Carolina.

Years since qualifying
6
Trained at
Morehouse School of Medicine
Licensed in
SC
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone: (843) 792-4316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence LL84614 (SC)

Record details

NPI number1093331373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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