Provider Demographics
NPI:1760659866
Name:CHANG, YU-MING (MD, PHD)
Entity Type:Individual
Prefix:
First Name:YU-MING
Middle Name:
Last Name:CHANG
Suffix:
Gender:M
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 1:40737 PALATINO ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-3833
Mailing Address - Country:US
Mailing Address - Phone:408-646-4176
Mailing Address - Fax:408-413-1029
Practice Address - Street 1:40737 PALATINO ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-3833
Practice Address - Country:US
Practice Address - Phone:408-646-4176
Practice Address - Fax:408-413-1029
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110174207R00000X, 207RG0100X
MI4301097844207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine