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General NPI Number Information
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NPI Number | 1942287792
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Entity Type | Individual
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Provider Name | CHE-NAN CHUANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 11/28/2010
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Provider Practice Location Address
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Address Line | 13347 SANFORD AVE SUITE 1C
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City | FLUSHING
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State | NY
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Zip | 11355-5800
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Country | US
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Telephone | 718-461-9779
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Fax | 718-461-3454
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Provider Business Mailing Address
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Address Line | 13347 SANFORD AVE SUITE 1C
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City | FLUSHING
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State | NY
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Zip | 11355-5800
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Country | US
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Telephone | 718-461-9779
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Fax | 718-461-3454
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 198622
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License Number State | NY
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