Provider Demographics
NPI:1417929118
Name:CHOPRA, ISHWAR CHANDER (MD)
Entity Type:Individual
Prefix:
First Name:ISHWAR
Middle Name:CHANDER
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 1:88 MCGREGOR ST
Mailing Address - Street 2:STE 305
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102
Mailing Address - Country:US
Mailing Address - Phone:603-622-2007
Mailing Address - Fax:603-622-9538
Practice Address - Street 1:88 MCGREGOR ST
Practice Address - Street 2:STE 305
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102
Practice Address - Country:US
Practice Address - Phone:603-622-2007
Practice Address - Fax:603-622-9538
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5673208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81344153Medicaid
NH4153Medicare ID - Type Unspecified
NH81344153Medicaid