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Contact Information

HAN KYO K CHANG, MD
1434 STANLEY DOLLAR DR
UNIT 3B
WALNUT CREEK, CA94595
 Phone: 716-418-4665
 Fax: 925-954-8696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for HAN KYO K CHANG · (Male)

NPI # 1235127150
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2005
Last updated 11/30/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # C138034
  • NY License # 125005
  • NY Medicaid 00602837
  • NY Other 5071127 COMM BLUE/BC
  • NY Other 0400458 IHA
  • NY Other 00010028501 UNIVERA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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