Active NPIIndividual provider

Dr. Avian C Chang, MD

Surgery in Bangor, Maine

NPI Number1700271178
Practice location
417 State St Ste 340, Bangor, ME 04401-6634
Fax
—
Last updated
March 10, 2022

Avian Chien Leong Vincent Chang is a Surgery based in Bangor, ME. Avian Chien Leong Vincent Chang practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Avian Chien Leong Vincent Chang is 1700271178 and holds a License No. MT207986 (PA). The current practice location address for Avian Chien Leong Vincent Chang is 417 State St Ste 340, Bangor, ME 04401-6634 and can be reached out via phone at 207-973-4949.

Provider Profile Details

NPI Number
1700271178
Provider Name
Avian Chien Leong Vincent Chang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
417 State St Ste 340, Bangor, ME 04401-6634
Phone Number
207-973-4949
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2015
Last Update Date
March 10, 2022
Certification Date
March 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
417 State St Ste 340
Bangor, ME 04401-6634
City
Bangor
State
Maine
Zip
04401-6634
Phone Number
207-973-4949
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006
City
Brewer
State
ME
Zip
04412-1006
Phone Number
207-973-5000
Fax Number
207-973-5042

License Information

License Number (1)
MT207986
License State (1)
PA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
2020016495
License State (2)
MO
Taxonomy (2)
Surgery, Surgical Critical Care · 2086S0102X
License Number (3)
MD470306
License State (3)
PA
Taxonomy (3)
Surgery, Surgical Critical Care · 2086S0102X
License Number (4)
MD24256
License State (4)
ME
Taxonomy (4)
Surgery, Surgical Critical Care · 2086S0102X
License Number (5)
MD24256
License State (5)
ME
Taxonomy (5)
Surgery, Trauma Surgery · 2086S0127X
License Number (6)
MD24256
License State (6)
ME
Taxonomy (6)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Avian C Chang, MD?

The NPI number of Dr. Avian C Chang, MD is 1700271178. It was assigned on April 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Avian C Chang, MD?

Dr. Avian C Chang, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in PA under license number MT207986.

Where does Dr. Avian C Chang, MD practice?

The practice location is 417 State St Ste 340, Bangor, ME 04401-6634. The office can be reached at 207-973-4949 (phone).

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 1700271178 directly on the NPPES registry website.

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