Healthcare Provider Details

I. General information

NPI: 1689820847
Provider Name (Legal Business Name): YONMEE CHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST FL 11
BALTIMORE MD
21201
US

IV. Provider business mailing address

111 MICHIGAN AVE NW CHILDREN'S NATIONAL MEDICAL CENTER - DEPT OF ANESTHESIA
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-1616
  • Fax: 410-328-1674
Mailing address:
  • Phone: 202-476-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberD85398
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: