Individual
JUSTIN P. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01073035A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
036130090
IL
2085R0202X
Diagnostic Radiology Physician
99057727A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201200960
—
IN
Enumeration date
07/16/2007
Last updated
12/24/2020
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