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

Dr. Tae Shik Park, MD

Individual provider Interventional Cardiology Physician · NPI 1689015562

Dr. Tae Shik Park, MD is an Interventional Cardiology in Richmond, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2013
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

1250 E Marshall St
Richmond, VA 23298-5023
Phone: (804) 828-9989
Fax: (804) 828-3544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 0101259642 (VA)

Record details

NPI number1689015562
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2013
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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