Provider Demographics
NPI:1356312219
Name:CHOPRA-SONTHALIA, SHAGUN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAGUN
Middle Name:
Last Name:CHOPRA-SONTHALIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4427 VEREDA LUNA LLENA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2666
Mailing Address - Country:US
Mailing Address - Phone:619-532-8840
Mailing Address - Fax:
Practice Address - Street 1:3500 BOB WILSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2666
Practice Address - Country:US
Practice Address - Phone:619-532-8840
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA070029207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology