Provider Demographics
NPI:1508850991
Name:CHOPRA, ADITYA (MD)
Entity Type:Individual
Prefix:
First Name:ADITYA
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 1:600 RIDGELY AVE
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1001
Mailing Address - Country:US
Mailing Address - Phone:410-266-8116
Mailing Address - Fax:410-266-7820
Practice Address - Street 1:600 RIDGELY AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1001
Practice Address - Country:US
Practice Address - Phone:410-266-8116
Practice Address - Fax:410-266-7820
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057028207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0001OtherBCBS CAREFIRST BLUECHOICE
DC0001OtherBCBS CAREFIRST BLUEPREFERRED
MD811102200Medicaid
DC0001OtherBCBS FEP
DC0001OtherGHMSI
H32647Medicare UPIN
MD110233241Medicare PIN
DC0001OtherGHMSI
MD811102200Medicaid