DR. CHUL CHANG M.D. NPI 1194760157

NPI Information

  • NPI: 1194760157
  • Provider Name: DR. CHUL CHANG, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 400 MEDICAL PARK DR
    WATERVLIET, MI
    ZIP 49098
  • Phone: (269) 463-2449

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NPI Details

DR. Chul Chang, M.D. is a specialist in Watervliet, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Chul Chang, M.D. NPI is 1194760157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 MEDICAL PARK DR
WATERVLIET, MI
ZIP 49098-225
Phone: (269) 463-2449

The enumeration date for this NPI number is 6/16/2006 and was last updated on 11/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistCC043583MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11101102151OTHERMICHIGANBLUECROSSBLUESHIELDOFMI
2A74716MEDICARE UPINMICHIGAN
3OM17780MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
42589390MEDICAIDMICHIGAN
50M55810OTHERMICHIGANMEDICARE - BANGOR
63208317MEDICAIDMICHIGAN
7110H010030OTHERMICHIGANBCBSM - BANGOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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