Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35.141482 | OH |
N | 207P00000X | Emergency Physician | A158078 | CA |
NPI | 1003341843 |
---|---|
Provider Name | Cindy Chang |
First Address | Cincinnati, OH 45206-1785 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2017 |
Last Update Date | 07/07/2021 |