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NPI Code Detail

MEDICARE: ANA LUCIA SIU CHANG M.D.

MEDICARE: ANA LUCIA SIU CHANG M.D.
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician35.142341OH
2207Q00000XFamily Medicine PhysicianQ7478TX

General Provider Information

NPI Number : 1417391467
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA LUCIA SIU CHANG M.D.
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-312-6671
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-4923
Country : US
Telephone Number : 164-442-2002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 10/13/2022

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Directions to “ ANA LUCIA SIU CHANG M.D.” Practice Location

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