Deaver Chang, Kara

Deaver Chang, Kara is an individual health care provider with primary practice located at 30 Washington St , Wellesley MA 02481-1905. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Other Service Providers / Specialist is her primary health care specialty. Deaver Chang, Kara can be contacted via phone (781) 263-0033.

Contact Information

Primary practice address
30 Washington St Wellesley MA 02481-1905
Phone: (781) 263-0033
Fax: (781) 263-9125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036114321 Illinois
Other Service Providers / Specialist 174400000X 242142 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 242142 Massachusetts

Profile Details

NPI number 1013941350
LBN Legal business name Deaver Chang, Kara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 21st, 2011 - about 13 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 1013941350 NPPES
Illinois Other 01620273 BLUE CROSS BLUE SHIELD

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