Chang, Randolph Y.
Chang, Randolph Y. is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Chang, Randolph Y. can be contacted via phone (717) 531-6597.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (717) 531-6597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 036-088768 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01066493A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 036088768 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD483068 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036088768 | Illinois |
Profile Details
| NPI number | 1497781488 |
|---|---|
| LBN Legal business name | Chang, Randolph Y. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Oct 27th, 2023 - about last year |
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 | 1497781488 | NPPES |
| Other | 11528006 | CAQH | |
| MEDICAID | 036088768 | CAQH | |
| MEDICAID | 201003790 | CAQH |
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