Provider Demographics
NPI:1245402338
Name:GROPPO, ELI ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ELI
Middle Name:ROBERT
Last Name:GROPPO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 EXPOSITION BLVD
Mailing Address - Street 2:BLDG 700
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4314
Mailing Address - Country:US
Mailing Address - Phone:916-736-3399
Mailing Address - Fax:916-233-4171
Practice Address - Street 1:1111 EXPOSITION BLVD
Practice Address - Street 2:BLDG 700
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4314
Practice Address - Country:US
Practice Address - Phone:916-736-3399
Practice Address - Fax:916-233-4171
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA102807207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA102807OtherSTATE LICENSE
CAFG0704999OtherDEA
CAA102807OtherSTATE LICENSE