Individual ProviderChangwan RyuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St # T-209, Yale-New Haven Hospital, New Haven, CT 06510-3220(603) 252-6293PECOS EnrollmentBased on the most recent information from CMS, provider Changwan Ryu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1194992735Provider TypeIndividualFull NameRyu, ChangwanTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date5/13/2008Last Updated9/15/2014Contact InformationPractice LocationPractice Address20 York St # T-209, Yale-New Haven Hospital, New Haven, CT 06510-3220Phone(603) 252-6293FaxUnlisted FaxMailing LocationMailing Address20 York St # T-209, Yale-New Haven Hospital, New Haven, CT 06510-3220PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense53292Connecticut