Provider Demographics
NPI:1962290023
Name:CHANG SEDANO, LYAN (MD)
Entity type:Individual
Prefix:MR
First Name:LYAN
Middle Name:
Last Name:CHANG SEDANO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 N. BROAD ST TEMPLE UNIVERSITY HOSPITAL
Mailing Address - Street 2:SUITE 810
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140
Mailing Address - Country:US
Mailing Address - Phone:215-707-4085
Mailing Address - Fax:215-707-5978
Practice Address - Street 1:3401 N. BROAD ST TEMPLE UNIVERSITY HOSPITAL
Practice Address - Street 2:SUITE 810
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140
Practice Address - Country:US
Practice Address - Phone:215-707-4085
Practice Address - Fax:215-707-5978
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program