Healthcare Provider Details

I. General information

NPI: 1942707336
Provider Name (Legal Business Name): QUINCY WEYLIN CHOPRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US

IV. Provider business mailing address

8088 FOREST LAKE DR APT 11
YOUNGSTOWN OH
44512-5920
US

V. Phone/Fax

Practice location:
  • Phone: 216-778-3161
  • Fax:
Mailing address:
  • Phone: 412-805-9742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.146497
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberTL8980
License Number StateWY
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number86428-20
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number8642820
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: