Individual provider · Type 1 NPI

Sungjin Park, MD

Student in an Organized Health Care Education/Training Program · Oklahoma City, OK

NPI number 1134094261 Active

Practice location

800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018

Mailing address

4444 E 41st St
Tulsa, OK 74135-2527

Other practice locations

  • 4444 E 41st St, Tulsa, OK 74135-2527 · (918) 619-4400

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134094261

Sungjin Park, MD's National Provider Identifier is 1134094261, issued on Oct 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 24, 2025.