Provider Demographics
NPI:1104861277
Name:G S CHOPRA CHTD.
Entity Type:Organization
Organization Name:G S CHOPRA CHTD.
Other - Org Name:DR. CHOPRA AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-796-8500
Mailing Address - Street 1:6410 MEDICAL CENTER ST STE A100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2445
Mailing Address - Country:US
Mailing Address - Phone:702-796-8500
Mailing Address - Fax:702-796-8502
Practice Address - Street 1:6410 MEDICAL CENTER ST STE A100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-796-8500
Practice Address - Fax:702-796-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084N0400X
NV89632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018127Medicaid
NVG32880Medicare UPIN
NVV101328Medicare PIN