Individual
DR. JASON JINWOO CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, SUITE 4B42, WASHINGTON, DC 20010-3017
(202) 877-7258
(202) 877-7258
Mailing address
110 IRVING ST NW, SUITE 4B42, WASHINGTON, DC 20010-3017
(202) 877-7259
(202) 877-7258
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
MD044772
DC
2084N0400X
Neurology Physician
51608
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03606054
—
MS
01
—
6020062
BCBS
TN
05
—
Q008105
—
TN
Enumeration date
06/24/2008
Last updated
10/28/2024
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