Lee-Jah Chang, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD449896 Issued in PA

Practice address

1 Medimmune Way
Gaithersburg, MD 20878-2204

Phone

(301) 398-0000

NPI assigned

Dec 21, 2007

Last updated

Aug 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1912181231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDIMMUNE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782204",
            "telephone_number": "301-398-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDIMMUNE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782204",
            "telephone_number": "301-398-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LEE-JAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD449896",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D72239",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101250526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chamber Family Dentistry LLC
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• Bete Chane
• Gisele Azeufack Dongmo Mimi Chanelle
• Michael Chang, D.D.S.
• Susan L Chang, MD
• Change Behavioral Health Services LLC
• Abigail Channer
• Alexandra Chapman, R.N.

• Allergy & Immunology Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Allergy & Immunology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.