Individual
STEVE H CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5420 KIETZKE LN, STE 103, RENO, NV 89511-2063
(775) 997-9418
Mailing address
5420 KIETZKE LN, STE 103, RENO, NV 89511-2063
(775) 997-9418
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12891
NV
207W00000X
Ophthalmology Physician
A95100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12891
STATE MEDICAL LICENSE
NV
01
—
A95100
STATE MEDICAL LICENSE
CA
Enumeration date
10/13/2006
Last updated
11/21/2008
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