Individual provider · Type 1 NPI
Ji Eun Park, MD, PhD
Diagnostic Radiology Physician · Baltimore, MD
NPI number
1538043153
Active
Practice location
601 N Caroline St
Baltimore, MD 21287-0006
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | D0048448 (MD) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1538043153
Ji Eun Park, MD, PhD's National Provider Identifier is 1538043153, issued on Aug 5, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Baltimore, MD. The record was last updated on Jul 7, 2026.