Individual
NEVAN N CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 289-4500
Mailing address
PO BOX 17694, BALTIMORE, MD 21297-1694
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101102751
VA
207P00000X
Emergency Medicine Physician
Primary
LIMITED
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005832519
—
VA
05
—
005832527
—
VA
05
—
005837006
—
VA
05
—
005837022
—
VA
Enumeration date
09/20/2006
Last updated
05/20/2011
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