Provider Demographics
NPI:1184674475
Name:CHOPRA, MONICA I (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:I
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3903 WISEMAN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4402
Mailing Address - Country:US
Mailing Address - Phone:210-681-0126
Mailing Address - Fax:210-681-0138
Practice Address - Street 1:596 PINE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1661
Practice Address - Country:US
Practice Address - Phone:412-771-6003
Practice Address - Fax:412-771-3575
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427073207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPENDINGMedicaid
PAPENDINGMedicare UPIN
PAPENDINGMedicaid