Provider Demographics
NPI:1063443216
Name:CHOPRA STOERR, KOMAL F (MD)
Entity Type:Individual
Prefix:
First Name:KOMAL
Middle Name:F
Last Name:CHOPRA STOERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KOMAL
Other - Middle Name:F
Other - Last Name:CHOPRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:123 N POST OAK LN STE 420
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7785
Mailing Address - Country:US
Mailing Address - Phone:713-955-4748
Mailing Address - Fax:281-476-7821
Practice Address - Street 1:123 N POST OAK LN STE 420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-955-4748
Practice Address - Fax:281-476-7821
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1175207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX630176OtherMEDICARE
TX155616902Medicaid
TX155616905Medicaid
TX155616903Medicaid
TX8A3042Medicare ID - Type Unspecified
TXH20973Medicare UPIN
TX155616903Medicaid
TX155616902Medicaid