MEDICARE: DR. RICHARD 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
1	207RR0500X	Rheumatology Physician	ME59505	FL

General Provider Information

NPI Number	:	1427104686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD CHANG M.D.

Provider Business Mailing Address
First Line	:	10820 SW 113TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3227
Country	:	US
Telephone Number	:	305-270-8083
Fax Number	:	305-271-5223

Provider Business Practice Location Address
First Line	:	10820 SW 113TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3227
Country	:	US
Telephone Number	:	305-270-8083
Fax Number	:	305-271-5223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2007
Last Update Date	:	06/25/2010

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Directions to “ DR. RICHARD CHANG M.D.” Practice Location

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