Healthcare Provider Details

I. General information

NPI: 1285995936
Provider Name (Legal Business Name): MEGAN TIEN-LING CHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4260 PLYMOUTH RD
ANN ARBOR MI
48109-2700
US

IV. Provider business mailing address

201 SAGE RD STE 300
CHAPEL HILL NC
27514-6510
US

V. Phone/Fax

Practice location:
  • Phone: 734-647-5670
  • Fax: 734-647-6637
Mailing address:
  • Phone: 919-385-2030
  • Fax: 919-385-2094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301100456
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: