Provider Demographics
NPI:1710027156
Name:CHOPRA, SANJIV (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJIV
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 1:401 PARK DR
Mailing Address - Street 2:LANDMARK CENTER HMS CME 2ND FLOOR WEST
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3325
Mailing Address - Country:US
Mailing Address - Phone:617-384-8628
Mailing Address - Fax:617-998-1014
Practice Address - Street 1:401 PARK DR
Practice Address - Street 2:LANDMARK CENTER, 2ND FLOOR WEST
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3325
Practice Address - Country:US
Practice Address - Phone:617-384-8628
Practice Address - Fax:617-998-1011
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37573207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology