| Doctor Name: | DR. SUYOUNG TINA CHANG |
| NPI Number: | 1609978949 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101235815 |
| Business Practice Address: | 8901 Wisconsin Avenue Bethesda, MD - 208895600 |
| Business Phone Number: | 2027829353 |
| Business Fax Number: | |
| Mailing Address: | 5504 Oakmont Avenue, BETHESDA |
| State: | MD |
| Postal Code: | 208173528 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 07/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 0101235815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |