Individual
EDWINA M CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR # MC5621, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.065581
IL
2085B0100X
Body Imaging Physician
Primary
A160545
CA
2085R0001X
Radiation Oncology Physician
A160545
CA
2085R0202X
Diagnostic Radiology Physician
125065581
IL
2085R0202X
Diagnostic Radiology Physician
A160545
CA
Other
Enumeration date
03/27/2014
Last updated
04/05/2024
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