NPI 1073979332

Ki-Eun Chang, MD

Practitioner Neurological Surgery Physician Providence, RI

Practice location

Address: 593 Eddy Street Apc 6, Providence, RI 02903-4923
Phone: (401) 793-9166
Fax: (401) 444-2788
Mailing address: 117 Ellenfield St STE 101, Providence, RI 02905-4541

Registered specialties (3)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence MD18382 (RI)

Other Neurological Surgery providers in Rhode Island →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence A147705 (CA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Rhode Island →

Registry record

NPI: 1073979332
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2016
Record last updated: 25 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.