Chang, Raymond

Chang, Raymond is an individual health care provider with primary practice located at 2722 Merrilee Dr Suite 230, Fairfax VA 22031-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chang, Raymond can be contacted via phone (703) 698-4483.

Contact Information

Primary practice address
2722 Merrilee Dr Suite 230 Fairfax VA 22031-4400
Phone: (703) 698-4483
Fax: (703) 573-0880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0087597 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101239400 Virginia

Profile Details

NPI number 1154306553
LBN Legal business name Chang, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 27th, 2020 - about 4 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 1154306553 NPPES
Virginia Other 309602 AMERIGROUP
Virginia Other 270496 AMERIGROUP
Virginia MEDICAID 381006592 AMERIGROUP
Virginia Other 0088 AMERIGROUP
Virginia Other 7848584 AMERIGROUP
Virginia Other 0101239400 AMERIGROUP
Virginia Other 1365195 AMERIGROUP

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