MEDICARE: MICHAEL CHI-MING CHANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	9400747	NC
2	2086S0102X	Surgical Critical Care Physician	9400747	NC
3	2086S0127X	Trauma Surgery Physician	9400747	NC
4	2086S0102X	Surgical Critical Care Physician	MD.14081	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4602529	OTHER	NC	AETNA
2	6590	OTHER	NC	PARTNERS
3	51284	OTHER	NC	MEDCOST
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	22049	OTHER	NC	BLUE CROSS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477538510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CHI-MING CHANG MD

Provider Business Mailing Address
First Line	:	PO BOX 40480
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36640-0480
Country	:	US
Telephone Number	:	251-434-3626
Fax Number	:	251-445-2464

Provider Business Practice Location Address
First Line	:	2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36617-2300
Country	:	US
Telephone Number	:	251-445-8282
Fax Number	:	251-445-8481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	01/14/2021

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Directions to “ MICHAEL CHI-MING CHANG MD” Practice Location

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