Provider Demographics
NPI:1609939164
Name:CHANG, YENHUI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:YENHUI
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 ARANDA ST NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3705
Mailing Address - Country:US
Mailing Address - Phone:727-767-4230
Mailing Address - Fax:727-767-8911
Practice Address - Street 1:800 6TH ST S
Practice Address - Street 2:CHC, 5TH FLOOR
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4817
Practice Address - Country:US
Practice Address - Phone:727-767-4230
Practice Address - Fax:727-767-8911
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDI31966246ZG1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZG1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGeneticist, Medical (PhD)