Healthcare Provider Details

I. General information

NPI: 1962453720
Provider Name (Legal Business Name): CAPITAL INTERNAL MEDICINE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FOREST GLEN RD ATTN: HOSPITALISTS OFFICE
SILVER SPRING MD
20910-1483
US

IV. Provider business mailing address

PO BOX 83819
GAITHERSBURG MD
20883-3819
US

V. Phone/Fax

Practice location:
  • Phone: 301-754-7991
  • Fax: 301-754-7990
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NEERAJ CHOPRA
Title or Position: PARTNER
Credential: MD
Phone: 301-928-2422