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Habeeba Park, M.D
NPI 1982897690 · on the registry since 2007
Practice
- Address
- 410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604 - Phone
- (423) 431-2477
- Organisation at this address
- Shriners Hospitals For Children
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- 2401 W Belvedere Ave, Baltimore, MD
- 3601 The Vanderbilt Clinic, Nashville, TN
Registry record
- Primary taxonomy
- 2086S0102X
2086S0102X
- Also registered as
- 2086S0102X
2086S0127X
208600000X
208600000X
208600000X - Licence states on file
- VA, TN, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee