Provider Demographics
NPI:1659387652
Name:CHOPRA, JATINDER (MD)
Entity Type:Individual
Prefix:
First Name:JATINDER
Middle Name:
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:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-0580
Mailing Address - Country:US
Mailing Address - Phone:559-386-4500
Mailing Address - Fax:
Practice Address - Street 1:858 N CHERRY ST
Practice Address - Street 2:SUITE E
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2243
Practice Address - Country:US
Practice Address - Phone:559-686-4766
Practice Address - Fax:559-686-2016
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A442970207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A442970Medicaid
CA00A442970Medicaid
CA00A442970Medicare ID - Type Unspecified