Chang, Ja Kwei
Chang, Ja Kwei is an individual health care provider with primary practice located at 750 E Adams St 3Rd Floor Radiology, Syracuse NY 13210-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Chang, Ja Kwei can be contacted via phone (315) 464-6672.Contact Information
Primary practice address
750 E Adams St 3Rd Floor Radiology
Syracuse NY 13210-2306
Phone: (315) 464-6672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 1924441 | New York |
Profile Details
| NPI number | 1063456275 |
|---|---|
| LBN Legal business name | Chang, Ja Kwei |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 17th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063456275 | NPPES |
| New York | MEDICAID | 01460526 |
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