Healthcare Provider Details

I. General information

NPI: 1558395590
Provider Name (Legal Business Name): RAJESH KUMAR CHOPRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N ROXBURY DR STE 311
BEVERLY HILLS CA
90210-5005
US

IV. Provider business mailing address

435 N ROXBURY DR STE 311
BEVERLY HILLS CA
90210-5005
US

V. Phone/Fax

Practice location:
  • Phone: 310-858-1787
  • Fax: 310-858-3787
Mailing address:
  • Phone: 310-858-1787
  • Fax: 310-858-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberA68799
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: