# THEODORE CHANG

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154617843
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 01077334A | IN | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 04-39110 | KS | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 144598 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 2016-01125 | NC | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 2016034437 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 24453 | MS | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 25MA10139500 | NJ | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 28459 | OK | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 304516 | LA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 52411 | AZ | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 76955 | GA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | D79534 | MD | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | E-9787 | AR | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | M-13573 | ID | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME130294 | FL | — |

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 11/03/2021