Provider Demographics
NPI:1831630037
Name:CHOPRA, SAMEER
Entity type:Individual
Prefix:
First Name:SAMEER
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18404 N TATUM BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-1509
Mailing Address - Country:US
Mailing Address - Phone:602-777-3113
Mailing Address - Fax:602-726-3008
Practice Address - Street 1:18404 N TATUM BLVD STE 207
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-1509
Practice Address - Country:US
Practice Address - Phone:602-777-3113
Practice Address - Fax:602-726-3008
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD472257208D00000X
AZ67829208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice