Individual
JUAN J CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6940 MICHIGAN RD STE 140, INDIANAPOLIS, IN 46268-2800
(317) 266-2901
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01043058A
IN
207Q00000X
Family Medicine Physician
Primary
01043058A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000081534
ANTHEM
IN
05
—
100331870
—
IN
01
—
Q0086233
SHO
—
Enumeration date
12/29/2005
Last updated
09/15/2025
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