Chang, Wilbur
Chang, Wilbur is an individual health care provider with primary practice located at 10810 Connecticut Ave Radiology, Kensington MD 20895-2138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Chang, Wilbur can be contacted via phone (301) 929-7100.Contact Information
Primary practice address
10810 Connecticut Ave Radiology
Kensington MD 20895-2138
Phone: (301) 929-7100
Fax: (301) 929-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0063067 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0063067 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD038973 | District of Columbia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101248264 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 88247 | Georgia |
Profile Details
| NPI number | 1770675928 |
|---|---|
| LBN Legal business name | Chang, Wilbur |
| Credentials | M.D.-PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Feb 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770675928 | NPPES |
| Maryland | MEDICAID | 417262100 | |
| Maryland | Other | P00751352 | |
| Maryland | Other | 154636ZDYC | |
| Maryland | Other | 1073 | |
| Maryland | Other | 1073 | |
| Maryland | Other | S645 |
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