Provider Demographics
NPI:1013964626
Name:CHOPRA, GOBINDER S (MD)
Entity Type:Individual
Prefix:
First Name:GOBINDER
Middle Name:S
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 1:6410 MEDICAL CENTER ST STE A100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2445
Mailing Address - Country:US
Mailing Address - Phone:702-796-8500
Mailing Address - Fax:702-796-8502
Practice Address - Street 1:6410 MEDICAL CENTER ST STE A100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-796-8500
Practice Address - Fax:702-796-8502
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV89632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018127Medicaid
NVV101329Medicare PIN
NVG32880Medicare UPIN