Individual
SU MIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
45434
WI
207RC0000X
Cardiovascular Disease Physician
Primary
K9499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1886602
—
LA
05
—
190639801
—
TX
05
—
190639802
—
TX
05
—
190639803
—
TX
05
—
190639806
—
TX
05
—
190639807
—
TX
05
—
34365500
—
WI
01
—
8AH671
BLUE CROSS BLUE SHIELD
TX
01
—
P00459994
RAILROAD MEDICARE
TX
01
—
P01037115
RR MEDICARE
TX
01
—
P01309509
RR MEDICARE
TX
Enumeration date
03/07/2006
Last updated
12/08/2017
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