Provider Demographics
NPI:1205053964
Name:CHOPRA, MEERA (DO)
Entity type:Individual
Prefix:DR
First Name:MEERA
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MEERA
Other - Middle Name:
Other - Last Name:MAHINDRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1352 VIA ROMERO
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-2868
Mailing Address - Country:US
Mailing Address - Phone:248-390-7844
Mailing Address - Fax:
Practice Address - Street 1:1596 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3393
Practice Address - Country:US
Practice Address - Phone:972-829-4862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1719207P00000X
CA20A13622207P00000X
MI5101016949207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5101016949OtherMI LICENSE #
MI5315027229OtherMI CONTROL SUBSTANCE #
CA20A13622OtherMEDICAL LICENSE
TXR1719OtherMEDICAL LICENSE