Healthcare Provider Details

I. General information

NPI: 1316755952
Provider Name (Legal Business Name): LAJWANTI HANDA CHOPRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2046 DOGWOOD GARDEN DR
GERMANTOWN TN
38139-6924
US

IV. Provider business mailing address

2046 DOGWOOD GARDEN DR
GERMANTOWN TN
38139-6924
US

V. Phone/Fax

Practice location:
  • Phone: 901-218-7346
  • Fax:
Mailing address:
  • Phone: 901-218-7346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN0000071677
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: