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NPI Code Detail

MEDICARE: MICHAEL Y CHANG MD PC

MEDICARE: MICHAEL Y CHANG MD PC
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1467539692
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL Y CHANG MD PC
Provider Business Mailing Address
First Line : PO BOX 26605
Second Line :
City : LAS VEGAS
State : NV
Zip : 89126-0605
Country : US
Telephone Number : 702-487-6510
Fax Number : 702-405-7960
Provider Business Practice Location Address
First Line : 425 LAKE WINDEMERE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-3003
Country : US
Telephone Number : 702-499-0686
Fax Number : 702-363-9885
Authorized Official
Title or Position : OWNER
Name : MICHEAL Y CHANG
Credential : MD
Telephone Number : 702-499-0686
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/19/2014

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Directions to “MICHAEL Y CHANG MD PC ” Practice Location

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