Provider Demographics
NPI:1396829701
Name:CAPITAL INTERNAL MEDICINE
Entity Type:Organization
Organization Name:CAPITAL INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:NEERAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOPRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-754-7991
Mailing Address - Street 1:1500 FOREST GLENN RD
Mailing Address - Street 2:HOLY CROSS HOSPITAL
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-754-7991
Mailing Address - Fax:301-754-7990
Practice Address - Street 1:1500 FOREST GLENN RD
Practice Address - Street 2:HOLY CROSS HOSPITAL
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-754-7991
Practice Address - Fax:301-754-7990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD60826282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital