Provider Demographics
NPI:1205836236
Name:CHOPRA, ANIL (MD)
Entity Type:Individual
Prefix:
First Name:ANIL
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7575 RITCHIE HWY
Mailing Address - Street 2:
Mailing Address - City:GLEN BERNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-8951
Mailing Address - Country:US
Mailing Address - Phone:410-766-1444
Mailing Address - Fax:410-766-9453
Practice Address - Street 1:7575 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-8951
Practice Address - Country:US
Practice Address - Phone:410-766-1444
Practice Address - Fax:410-766-9453
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO046816207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
60374002OtherBSMD
60374002OtherBSMD
464WMedicare ID - Type Unspecified