Provider Demographics
NPI:1245211325
Name:TENG H CHANG MD PC
Entity Type:Organization
Organization Name:TENG H CHANG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TENG
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-781-6688
Mailing Address - Street 1:601 E HAMPDEN ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2796
Mailing Address - Country:US
Mailing Address - Phone:303-781-6688
Mailing Address - Fax:303-761-6688
Practice Address - Street 1:601 E HAMPDEN ST
Practice Address - Street 2:SUITE 270
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2796
Practice Address - Country:US
Practice Address - Phone:303-781-6688
Practice Address - Fax:303-761-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804031Medicare PIN
COI45996Medicare UPIN
CO804032Medicare PIN