Physician Profile Portal

This data was extracted on 3/15/2026.

Profile

License Number: D0051977 Dr. Charles Chan-Kyu Park
License Type: Physician-Medical Doctor
License Status: Active
License Issued: 05/09/1997 License Expiration: 09/30/2027

Licensure Pathway: Traditional
Special License Category: N/A

Primary Practice Setting

Minimally Invasive Brain And Spine Cente
301 St Paul Place
2nd Floor McCauley
Baltimore, MD 21202

Public Address

301 St Paul Place
2nd Floor
McCauley
BALTIMORE, MD 21202

Education

SUNY AT BUFFALO SCH OF MED & BIOMEDICAL SCI
Graduation Year: 1991

Medical Assistance and Malpractice Insurance

Accept Medicaid? Yes

Maintains Malpractice Insurance? Yes

Postgraduate Training Program

School	Concentration
University of Maryland Baltimore, Maryland	Neurological Surgery
Northwestern Mcgaw - Chicago, Il.	Surgery
Northwestern Mcgaw - Chicago, Il.	Neurological Surgery

Specialty Board Certification (as reported by licensee)

by American Board of Medical Specialties (ABMS), American Osteopathic Association (AOA), Royal College of Physicians and Surgeons of Canada (RCPSC), or the College of Family Physicians of Canada (CFPOC).

Neurological Surgery

Self-Designated Practice Area (as reported by licensee)

Neurological Surgery

Maryland Hospital Privilege Information (as reported by licensee)

Mercy Medical Center Inc

Medical Licenses Held in Other States (as reported by licensee)

Licensee has not reported Medical Licenses Held in Other States information for the profile site.

Collaboration and Consultation Agreements for Naturopathic Doctors

Collaboration and Consultation Agreements have not been reported for the profile site.

Active Supervisor - Evaluation and Treatment Protocols for Athletic Trainers

Evaluation and Treatment protocols have not been reported for the profile site.

Supervised Genetic Counselor - Active Supervisor

Supervisor Agreements have not been reported for the profile site.

Active Supervisor - Delegation Agreement For Core Duties

C0005157 Reyadh David Al - Banna Status: Approved | Approved Date: 01/30/2019 | Agreement No: 18373

C0002779 James Anthony Piazza Status: Approved | Approved Date: 01/20/2023 | Agreement No: 31851

C0008201 Anna Vladislavovna Lasher Status: Approved | Approved Date: 05/25/2023 | Agreement No: 32529

C0008655 Kelly Marie Dunn Status: Approved | Approved Date: 10/17/2023 | Agreement No: 33151

Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.

None.

Summary of Known Disciplinary Actions by any state medical board

In Maryland:

No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.

Other States:

No Known Disciplinary Actions by any other state medical board have been reported.

Pending Charges

All Charges are downloaded in .pdf format.

None.

Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)

No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.

MALPRACTICE (Information to be taken into consideration when reviewing a licensee's profile)

Please Read Malpractice Disclosure

Malpractice Judgments and Arbitration Awards

(within the past 10 years) None Reported

Malpractice Settlements

(If there are 3 or more settlements of $1,000,000 or greater within the past 5 years) None Reported

Convictions for any crime involving moral turpitude

None reported by the courts.

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