Provider Demographics
NPI:1457459729
Name:WINFRED Y.K. CHANG, M.D., INC.
Entity Type:Organization
Organization Name:WINFRED Y.K. CHANG, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEILAND
Authorized Official - Middle Name:A
Authorized Official - Last Name:SADARANANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-261-3364
Mailing Address - Street 1:40 AULIKE ST STE 411
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2757
Mailing Address - Country:US
Mailing Address - Phone:808-261-3364
Mailing Address - Fax:808-261-0734
Practice Address - Street 1:407 ULUNIU ST
Practice Address - Street 2:STE. 313
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2519
Practice Address - Country:US
Practice Address - Phone:808-261-3364
Practice Address - Fax:808-261-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty