Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Seo Youn Chang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972294379

Seo Youn Chang is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2023
Specialties on file
3

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5127
Fax: (401) 444-3056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LP05848 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LP05848 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence CLP05848 (RI)

Record details

NPI number1972294379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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