Healthcare Provider Details

I. General information

NPI: 1932427192
Provider Name (Legal Business Name): VINOD KUMAR CHOPRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11350 RANDOM HILLS RD STE 140
FAIRFAX VA
22030-6044
US

IV. Provider business mailing address

11350 RANDOM HILLS RD STE 140
FAIRFAX VA
22030-6044
US

V. Phone/Fax

Practice location:
  • Phone: 703-962-2520
  • Fax: 703-962-2522
Mailing address:
  • Phone: 571-236-1977
  • Fax: 703-962-2522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0101266815
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: