Dr Eileen Chang Family Practice Pllc | |
1455 W Chandler Blvd Ste 4 Chandler AZ 85224-6177 | |
(480) 674-4100 | |
Not Available |
Full Name | Dr Eileen Chang Family Practice Pllc |
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Speciality | Family Medicine |
Location | 1455 W Chandler Blvd Ste 4, Chandler, Arizona |
Authorized Official Name and Position | Eileen Chang (PHYSICIAN / OWNER) |
Authorized Official Contact | 4806744100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Eileen Chang Family Practice Pllc 1455 W Chandler Blvd Ste A4 Chandler AZ 85224-6197 Ph: () - | Dr Eileen Chang Family Practice Pllc 1455 W Chandler Blvd Ste 4 Chandler AZ 85224-6177 Ph: (480) 674-4100 |
NPI Number | 1063278851 |
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Provider Enumeration Date | 02/28/2024 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 7416397716 |
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Medicare Enrollment ID | O20240503001295 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063278851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Eileen Chang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063529196 PECOS PAC ID: 3678461647 Enrollment ID: I20070809000737 |
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