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

Soo H. Park, MD

Individual provider Interventional Cardiology Physician · NPI 1609819226

Soo H. Park, MD is an Interventional Cardiology Physician in Columbus, Indiana. Licensed in Illinois, Indiana and Oregon. Registered with an NPI since 2006.

Licensed in
IL, IN, OR
In the registry since
2006
Specialties on file
3
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

5580 Treeline Dr
Columbus, IN 47201-4050
Phone: (217) 979-1165
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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 01064126A (IN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence MD153728 (OR)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 036042861 (IL)

Record details

NPI number1609819226
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

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