Individual
RYAN CHUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, MC-0180, DENVER, CO 80204-4507
(303) 739-1265
(303) 739-1119
Mailing address
777 BANNOCK ST, MC-0180, DENVER, CO 80204-4507
(303) 739-1265
(303) 739-1119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46635
CO
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
46635
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025358100
NE MEDICAID
NE
01
—
10025360000
NE MEDICAID
NE
01
—
10025360100
NE MEDICAID
NE
05
—
60025352
—
CO
Enumeration date
05/25/2007
Last updated
02/04/2010
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