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Mark Wan Soo Chang, MD
Cardiovascular Disease Physician in Johnson City, Tennessee
NPI 1174632475

Mark Wan Soo Chang is a Cardiovascular Disease Physician based in Kingsport, TN and is specialized in Cardiovascular Disease. Mark Wan Soo Chang practices in Johnson City, TN and has the professional credentials of MD. The NPI Number for Mark Wan Soo Chang is 1174632475 and holds a License No. 28931 (Tennessee).

The current practice location address for Mark Wan Soo Chang is 2428 Knob Creek Road, Johnson City, TN and can be reached out via phone at 423-282-5054 and via fax at 423-230-5097. You can also correspond with Mark Wan Soo Chang through the mailing address at 105 W STONE DR, KINGSPORT, TN - 37660-3365 (mailing address contact number: 423-408-7220).

Location: 2428 Knob Creek Road, Johnson City, TN, 37660-3365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174632475
Provider Name
Mark Wan Soo Chang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2428 Knob Creek Road, Johnson City, TN, 37660-3365
Phone Number
423-282-5054
Fax Number
423-230-5097
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
790596V 05 NC
89014AT 05 NC
005867967 01 VA MEDICAID OF VA
3373123 05 TN
TN0102 01 TN JDH
320332 01 VA ANTHEM
4017298 01 TN BCBS
64001084 05 KY
institution
Provider Business Practice Location Address Details
Address
2428 Knob Creek Road
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-282-5054
Fax Number
423-230-5097
person
Provider Business Mailing Address Details
Address
105 W Stone Dr
City
Kingsport
State
Tennessee
Zip
37660-3365
Phone Number
423-408-7220
Fax Number
423-408-7405
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
0101059203 (Virginia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
28931 (Tennessee)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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