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Individual

DR. RAYMOND CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Mailing address
PO BOX 3650, FAIRFAX, VA 22038-3650
(703) 698-4483
(703) 573-0880

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101239400
VA
2085R0202X
Diagnostic Radiology Physician
D0087597
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0088
CAREFIRST BCBS
VA
01
0101239400
LICENSE
VA
01
1365195
AETNA HMO
VA
01
270496
KAISER
VA
01
309602
AMERIGROUP
VA
05
381006592
WV
01
7848584
AETNA
VA
Enumeration date
12/08/2005
Last updated
01/27/2020
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