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Individual

JOAN CHYONG-WEN CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
8424 NAAB RD STE 1L, INDIANAPOLIS, IN 46260-1954
(317) 338-7780
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004731A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
02004731A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
253044
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
02004731A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03111199
NY
01
0415706
INDEPENDENT HEALTH
NY
Enumeration date
08/17/2006
Last updated
10/02/2015
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