Provider Demographics
NPI:1356469845
Name:CHOPRA, RAJIV K (MD)
Entity Type:Individual
Prefix:
First Name:RAJIV
Middle Name:K
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 1:3400 DATA DR 1ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:916-379-2861
Mailing Address - Fax:916-858-3205
Practice Address - Street 1:3000 Q ST FL 1
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3301
Practice Address - Fax:916-281-3882
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA873172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A873170Medicaid
CA00A873171Medicare PIN
CA00A873172Medicare PIN
CA00A873170Medicare PIN
CA00A873170Medicaid
CA00A873175Medicare PIN
CA00A873173Medicare PIN
CA00A873179Medicare PIN
CA00A873176Medicare PIN
CA00A873174Medicare PIN
CA00A873178Medicare PIN
CA00A873177Medicare PIN