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

Dr. Sung Eun Park, MD

Individual provider Pediatrics Physician · NPI 1215103171

Dr. Sung Eun Park, MD is a Pediatrics Physician in Issaquah, Washington. Practices as a sole proprietor. Licensed in Idaho, Illinois, Utah and Washington.

Licensed in
ID, IL, UT, WA
In the registry since
2008
Specialties on file
4
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

1505 NW Gilman Blvd Ste 8
Issaquah, WA 98027-5398
Phone: (425) 357-7082
Fax: (425) 437-5259
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD61491409 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence 6353386-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 036120274 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence M11886 (ID)

Record details

NPI number1215103171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2008
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address1505 Nw Gilman Blvd Ste 8, Issaquah, WA 98027-5398

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