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NPI Code Detail

MEDICARE: MR. SIDDHARTH CHOPRA MD

MEDICARE:  MR. SIDDHARTH  CHOPRA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician340816NY
2207RP1001XPulmonary Disease Physician1632WV
3207RC0200XCritical Care Medicine (Internal Medicine) Physician340816NY
4207RC0200XCritical Care Medicine (Internal Medicine) Physician1632WV
5207R00000XInternal Medicine Physician1632WV
6207R00000XInternal Medicine Physician340816NY

General Provider Information

NPI Number : 1013534999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SIDDHARTH CHOPRA MD
Provider Business Mailing Address
First Line : 3110 MAC CORKLE AVE, SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304
Country : US
Telephone Number : 248-858-3234
Fax Number : 248-858-6233
Provider Business Practice Location Address
First Line : 3110 MAC CORKLE AVE, SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304
Country : US
Telephone Number : 304-351-2867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2020
Last Update Date : 12/10/2025

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Directions to “ MR. SIDDHARTH CHOPRA MD” Practice Location

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