Individual provider · Type 1 NPI
Moses-Dara Elijah Parks, MD
Student in an Organized Health Care Education/Training Program · Philadelphia, PA
NPI number
1619654548
Active
Practice location
2601 Holme Ave
Philadelphia, PA 19152-2007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1619654548
Moses-Dara Elijah Parks, MD's National Provider Identifier is 1619654548, issued on Jul 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 3, 2023.