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

Chan W Park, MD

Individual provider Emergency Medicine Physician · NPI 1518948827

Chan W Park, MD is an Emergency Medicine Physician in Portsmouth, Virginia. Licensed in Indiana and Virginia. Registered with an NPI since 2005.

Licensed in
IN, VA
In the registry since
2005
Specialties on file
2
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

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-1365
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101245598 (VA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01054324A (IN)

Record details

NPI number1518948827
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2005
Last updated in NPPESJune 8, 2009
Mailing address5100 Bayport Lndg, Suffolk, VA 23435-1358

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