Healthcare Provider Details

I. General information

NPI: 1508850991
Provider Name (Legal Business Name): ADITYA CHOPRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 RIDGELY AVE SUITE 231
ANNAPOLIS MD
21401-1001
US

IV. Provider business mailing address

600 RIDGELY AVE
ANNAPOLIS MD
21401-1001
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-8116
  • Fax: 410-266-7820
Mailing address:
  • Phone: 410-266-8116
  • Fax: 410-266-7820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0057028
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: