Active NPI
Hon Pak, MD
- Clinical & Laboratory Dermatological Immunology Physician
- Bethesda, MD
National Provider Identifier
1497816334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Dermatological Immunology Physician
- License
- D73663
- Practice address
- 4920 Elm St
Suite 250
Bethesda, MD 20814-2924 - Phone
- (240) 483-0555
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | D73663 | MD | Primary |
Addresses
Primary practice location
4920 Elm St
Suite 250
Bethesda, MD 20814-2924
Mailing address
4920 Elm St
Suite 250
Bethesda, MD 20814-2924
Phone (240) 483-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D73663 | MD | MD | Clinical & Laboratory Dermatological Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1497816334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 ELM ST",
"address_2": "SUITE 250",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142924",
"telephone_number": "240-483-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 ELM ST",
"address_2": "SUITE 250",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142924",
"telephone_number": "240-483-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "HON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "MD",
"license": "D73663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.