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

Chan Dong Park, MD

Individual provider Internal Medicine Physician · NPI 1407815665

Chan Dong Park, MD is an Internal Medicine Physician in Martinsburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1002 Sushruta Dr
Martinsburg, WV 25401-8897
Phone: (304) 263-0913
Fax: (304) 267-2917
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 17219 (WV)

Record details

NPI number1407815665
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESJuly 13, 2026

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