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Individual
DR. DIANE CHANG
Active
Individual
DR. DIANE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193100
PA
207W00000X
Ophthalmology Physician
257294
NY
207W00000X
Ophthalmology Physician
Primary
D79306
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094298700
—
MD
01
—
416850ZFRZ
MEDICARE
MD
01
—
416850ZZFXB
MEDICARE
MD
Enumeration date
06/25/2008
Last updated
07/01/2015
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