Healthcare Provider Details

I. General information

NPI: 1053417162
Provider Name (Legal Business Name): NEERAJ CHOPRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 08/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10110 MOLECULAR DR STE 101
ROCKVILLE MD
20850-7538
US

IV. Provider business mailing address

10110 MOLECULAR DR STE 101
ROCKVILLE MD
20850-7538
US

V. Phone/Fax

Practice location:
  • Phone: 301-444-4402
  • Fax:
Mailing address:
  • Phone: 301-444-4402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD54347
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD54347
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: