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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK WAN SOO CHANG, MD

Active

MARK WAN SOO CHANG, MD is a Hospice and Palliative Medicine healthcare provider located in JOHNSON CITY, Tennessee. NPI 1174632475 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · JOHNSON CITY, TN

Registration Details

NPI Number
1174632475
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.951135732313 yrs)
Last Updated
Dec 3, 2014
Licenses
28931 (TN)
0101059203 (VA)
28931 (TN)
0101059203 (VA)

Practice Information

Address
2428 KNOB CREEK ROAD
JOHNSON CITY, TN, 37604
Browse TN providers · Browse ZIP 37604
Phone
4232825054
Fax
4232305097
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in JOHNSON CITY, TN

Name Credential NPI
FAWWAZ I. HAMATI MD 1225023104
SHOBHA R. HIREMAGALUR MD 1407841398
AHMED A. KHAN MD 1639165277
DR. TARIQ ZIAD HADDADIN M.D. 1003880295
JULIUS A GASSO MD 1942232038
HAROLD WAYNE ALISON MD 1710096938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.