Provider Demographics
NPI:1033266044
Name:CHOPRA, ARCHANA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ARCHANA
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 SANDHILL LN
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-5901
Mailing Address - Country:US
Mailing Address - Phone:217-355-1204
Mailing Address - Fax:217-398-4926
Practice Address - Street 1:1210 LANCASTER DR
Practice Address - Street 2:# C
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61821-7028
Practice Address - Country:US
Practice Address - Phone:217-398-4443
Practice Address - Fax:217-398-4926
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry