1477503936 Theodore T Chang, M.D.
Urology Physician
Reactivated
Basic Information
- Full Name
- Theodore T Chang, M.D.
- Gender
- Male
- Enumeration Date
- May 12, 2006
- Last Update
- August 27, 2024
- Deactivation Date
- January 31, 2024
- Reactivation Date
- February 7, 2024
Practice Location
- Address
- 319 S MANNING BLVD
SUITE 106
ALBANY, NY 122081742 - Phone
- (518) 438-1019
- Fax
- (518) 438-0981
Mailing Address
- Address
- PO BOX 14890
ALBANY, NY 122124890 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Urology Physician | 208800000X | Urology | 204809 | NY | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92950 | 01 | NY | GHI HMO |
| P00291584 | 01 | NY | RAILROAD MEDICARE |
| 00406922007 | 01 | NY | BLUE SHIELD NORTHEASTERN |
| 10002480 | 01 | NY | CAPITAL DISTRICT PHYSICIA |
| 1099057 | 01 | NY | GHI PPO |
| 24134 | 01 | NY | MOHAWK VALLEY PHYSICIANS |
Digital Endpoints
DIRECT Use: DIRECT
payer.credentialing@sphp.com
SPHP- Payer Credentialing
Frequently Asked Questions
What is Theodore T Chang, M.D.'s NPI number?
Theodore T Chang, M.D.'s NPI number is 1477503936.
Which doctor has NPI number 1477503936?
The doctor with NPI number 1477503936 is Theodore T Chang, M.D..
What is Theodore T Chang, M.D.'s practice address?
Theodore T Chang, M.D.'s practice address is 319 S MANNING BLVD, SUITE 106, ALBANY, NY, 122081742.
Which doctor practices at 319 S MANNING BLVD, SUITE 106, ALBANY, NY, 122081742?
Theodore T Chang, M.D. practices at 319 S MANNING BLVD, SUITE 106, ALBANY, NY, 122081742.
What is Theodore T Chang, M.D.'s mailing address?
Theodore T Chang, M.D.'s mailing address is PO BOX 14890, ALBANY, NY, 122124890.
What is Theodore T Chang, M.D.'s phone number?
Theodore T Chang, M.D.'s phone number is (518) 438-1019.
Who is (518) 438-1019?
(518) 438-1019 is the phone number for Theodore T Chang, M.D..
What is Theodore T Chang, M.D.'s specialty?
Theodore T Chang, M.D.'s specialty is Urology Physician.
What type of doctor is Theodore T Chang, M.D.?
Theodore T Chang, M.D. is a Urology Physician.
Is Theodore T Chang, M.D. a Urology?
Yes, Theodore T Chang, M.D. is a Urology.
Is Theodore T Chang, M.D. still practicing?
Yes, Theodore T Chang, M.D. has reactivated their practice and is currently practicing.
Is Theodore T Chang, M.D. accepting new patients?
Theodore T Chang, M.D. may be accepting new patients. Please call their office at (518) 438-1019 to inquire about availability.
Is NPI 1477503936 still active?
Yes, NPI 1477503936 has been reactivated and is currently active.
Where does Theodore T Chang, M.D. practice?
Theodore T Chang, M.D. practices in ALBANY, NY.
Is Theodore T Chang, M.D. a male or female doctor?
Theodore T Chang, M.D. is a male doctor.