Individual
HOON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13135 ROUTE 50 STE 135, FAIRFAX, VA 22033-1907
(703) 961-0484
Mailing address
13135 ROUTE 50 STE 135, FAIRFAX, VA 22033-1907
(703) 961-0484
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101274833
VA
390200000X
Student in an Organized Health Care Education/Training Program
MT229280
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT229280
PA STATE LICENSE
PA
Enumeration date
03/23/2020
Last updated
06/26/2025
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