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1942707336

NPI Code Detail

MEDICARE: DR. QUINCY WEYLIN CHOPRA MD

MEDICARE: DR. QUINCY WEYLIN 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
1	207P00000X	Emergency Medicine Physician	35.146497	OH
2	207P00000X	Emergency Medicine Physician	TL8980	WY
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	8642820	WI
4	390200000X	Student in an Organized Health Care Education/Training Program
5	207P00000X	Emergency Medicine Physician	86428-20	WI

General Provider Information

NPI Number	:	1942707336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUINCY WEYLIN CHOPRA MD

Provider Business Mailing Address
First Line	:	8088 FOREST LAKE DR APT 11
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44512-5920
Country	:	US
Telephone Number	:	412-805-9742
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-778-3161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	04/07/2026

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Directions to “ DR. QUINCY WEYLIN CHOPRA MD” Practice Location

Language	Start Address	Practice Location

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