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

Mr. Ji Yoon Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306535661

Mr. Ji Yoon Park, MD is a Student in an Organized Health Care Education/Training Program in Charleston, West Virginia. Registered with an NPI since 2023.

In the registry since
2023
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

3200 Maccorkle Avenue Southeast Camc Memorial Hospital Internal Medicine
Charleston, WV 25304
Phone: (304) 388-5590
Fax: (304) 388-8238
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306535661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESAugust 15, 2023
Certification dateMay 8, 2023

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