Individual
MARIA CORAZON CHANG
Active
Individual
MARIA CORAZON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29174
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105899
MEDICARE
—
05
—
200409990A
—
KS
Enumeration date
09/01/2006
Last updated
09/30/2016
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