Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35.133496 | OH |
NPI | 1578820015 |
---|---|
Provider Name | Dr. Alex L Chang |
First Address | Cincinnati, OH 45267-0558 |
Second Address | Cincinnati, OH 45229-3019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 24/02/2021 |