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

Dr. Jung K Park, MD

Individual provider Diagnostic Radiology Physician · NPI 1700834777

Dr. Jung K Park, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1992, 34 years ago. Practices with East Valley Radiology Associates PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
34
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
AZ
In the registry since
2006
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

11209 N Tatum Blvd Ste #110
Phoenix, AZ 85028-3091
Phone: (602) 248-8002
Fax: (602) 248-8399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 26466 (AZ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence F91378 (AZ)

Record details

NPI number1700834777
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice East Valley Radiology Associates Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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