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

Chan M Park, MD

Individual provider Family Medicine Physician · NPI 1457467037

Chan M Park, MD is a Family Practice in Ridgeway, Virginia. Graduated from University of New Mexico School of Medicine in 1996, 30 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
30
Trained at
University of New Mexico School of Medicine
Licensed in
VA
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

6460 Greensboro Rd
Ridgeway, VA 24148-3478
Phone: (276) 956-2047
Fax: (276) 956-1637
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 0101229138 (VA)

Record details

NPI number1457467037
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6460 Greensboro Rd, Ridgeway, VA 24148-3478

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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