Chang, Larry William

Chang, Larry William is an individual health care provider with primary practice located at 1717 E Monument St. The Park Building, Ground Floor, Baltimore MD 21287-2100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chang, Larry William can be contacted via phone (410) 955-1725.

Contact Information

Primary practice address
1717 E Monument St. The Park Building, Ground Floor Baltimore MD 21287-2100
Phone: (410) 955-1725
Fax: (443) 287-4173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D64129 Maryland
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X D0064129 Maryland

Profile Details

NPI number 1558417881
LBN Legal business name Chang, Larry William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2007
Last updated Oct 6th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558417881 NPPES
Maryland MEDICAID 023187800

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