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NPI Code Detail

MEDICARE: DR. YILAN L CHANG MD

MEDICARE: DR. YILAN L 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
1207ZC0500XCytopathology Physician35081972OH
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician35-081972OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295711992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YILAN L CHANG MD
Provider Business Mailing Address
First Line : PO BOX 773129
Second Line :
City : DETROIT
State : MI
Zip : 48277-3129
Country : US
Telephone Number : 330-285-2785
Fax Number :
Provider Business Practice Location Address
First Line : 272 BENEDICT AVE
Second Line :
City : NORWALK
State : OH
Zip : 44857-2374
Country : US
Telephone Number : 330-285-2785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 10/11/2023

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