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Individual
HAN KYO K CHANG
Active
Individual
HAN KYO K CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
125005
NY
207R00000X
Internal Medicine Physician
Primary
C138034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010028501
UNIVERA
NY
05
—
00602837
—
NY
01
—
0400458
IHA
NY
01
—
5071127
COMM BLUE/BC
NY
Enumeration date
10/13/2005
Last updated
11/30/2022
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