MEDICARE: DR. SULTAN CHOPAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A043586	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080067700	OTHER		MEDICARE RAILROAD #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285637744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SULTAN CHOPAN MD

Provider Business Mailing Address
First Line	:	2809 OLIVE HWY
Second Line	:	STE 380
City	:	OROVILLE
State	:	CA
Zip	:	95966-6136
Country	:	US
Telephone Number	:	530-533-6670
Fax Number	:	530-533-4493

Provider Business Practice Location Address
First Line	:	2809 OLIVE HWY
Second Line	:	STE 380
City	:	OROVILLE
State	:	CA
Zip	:	95966-6136
Country	:	US
Telephone Number	:	530-533-6670
Fax Number	:	530-533-4493

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/17/2009

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