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Individual
DR. JOHNNY A. CHANG
Active
Individual
DR. JOHNNY A. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
041177
CT
208800000X
Urology Physician
Primary
041177
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000231610801
UNITED HEALTHCARE ID
CT
01
—
00141177700
BLUE CARE FAMILY PLAN ID
CT
01
—
010041177CT01
BLUE SHIELD PROVIDER ID
CT
01
—
041177
CONNECTICARE PROVIDER ID
CT
05
—
1411777
—
CT
01
—
2V4421
HEALTHNET PROVIDER ID
CT
01
—
3159551
AETNA PROVIDER ID
CT
01
—
P2882366
OXFORD PROVIDER ID
CT
Enumeration date
07/08/2005
Last updated
05/05/2026
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