Individual
INGRID CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8410 DECATUR ST, WESTMINSTER, CO 80031-3811
(303) 430-7000
(303) 430-1506
Mailing address
4891 INDEPENDENCE ST, SUITE 120, WHEAT RIDGE, CO 80033-6752
(303) 456-5495
(303) 456-7490
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD39231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00429346
RR MEDICARE
CO
Enumeration date
09/30/2006
Last updated
10/22/2008
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