Individual provider · Type 1 NPI

Kitae Eric Park, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1225664618 Active

Practice location

601 N Caroline St # 8152C
Baltimore, MD 21287-0006

Mailing address

40 Sunshine Cottage Rd
Valhalla, NY 10595-1524

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 502-2037
  • 40 Sunshine Cottage Rd, Valhalla, NY 10595-1524 · (914) 594-4000

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.

5 other providers at this address

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About NPI 1225664618

Kitae Eric Park, MD's National Provider Identifier is 1225664618, issued on Mar 17, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 20, 2025.