Dr. Ki-Eun Chang, MD
Neurological Surgery in Providence, Rhode Island
1073979332- Practice location
- 593 Eddy Street Apc 6, Providence, RI 02903-4923
- Phone
- 401-793-9166
- Fax
- 401-444-2788
- Last updated
- May 25, 2022
Ki-Eun Chang is a Neurological Surgery based in Providence, RI. Ki-Eun Chang practices in Providence, RI and has the professional credentials of MD. The NPI Number for Ki-Eun Chang is 1073979332 and holds a License No. a147705 (CA). The current practice location address for Ki-Eun Chang is 593 Eddy Street Apc 6, Providence, RI 02903-4923 and can be reached out via phone at 401-793-9166 and via fax at 401-444-2788.
Provider Profile Details
- NPI Number
- 1073979332
- Provider Name
- Ki-Eun Chang
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 593 Eddy Street Apc 6, Providence, RI 02903-4923
- Phone Number
- 401-793-9166
- Fax Number
- 401-444-2788
- Primary Taxonomy
- Neurological Surgery · 207T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 2, 2016
- Last Update Date
- May 25, 2022
- Certification Date
- May 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy Street Apc 6
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-793-9166
- Fax Number
- 401-444-2788
Provider Business Mailing Address Details
- Address
- 117 Ellenfield St Ste 101
Providence, RI 02905-4541 - City
- Providence
- State
- RI
- Zip
- 02905-4541
License Information
- License Number (1)
- a147705
- License State (1)
- CA
- Taxonomy (1)
- Neurological Surgery · 207T00000X
- License Number (2)
- MD18382
- License State (2)
- RI
- Taxonomy (2)
- Neurological Surgery · 207T00000X · Primary
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Neurological Surgery providers near Providence, RI
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- Deus Cielo, MDNeurological Surgery · NPI 1912957572
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- Dr. David B Kurland, MD, PHDNeurological Surgery · NPI 1518454586
Frequently Asked Questions
What is the NPI number of Dr. Ki-Eun Chang, MD?
The NPI number of Dr. Ki-Eun Chang, MD is 1073979332. It was assigned on January 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Ki-Eun Chang, MD?
Dr. Ki-Eun Chang, MD is registered under the primary taxonomy Neurological Surgery (code 207T00000X), licensed in CA under license number a147705.
Where does Dr. Ki-Eun Chang, MD practice?
The practice location is 593 Eddy Street Apc 6, Providence, RI 02903-4923. The office can be reached at 401-793-9166 (phone) or 401-444-2788 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073979332 directly on the NPPES registry website.