Individual
CHANGJIAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3505 S REED RD, KOKOMO, IN 46902-3838
(765) 776-5500
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01049093A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200243420
—
IN
01
—
P01270942
RR MEDICARE
IN
Enumeration date
05/17/2006
Last updated
08/30/2024
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