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NPI Code Detail

MEDICARE: DR. SHIVANI CHOPRA M.D.

MEDICARE: DR. SHIVANI CHOPRA M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry PhysicianA105901CA
32084F0202XForensic Psychiatry PhysicianA105901CA
42084P0804XChild & Adolescent Psychiatry PhysicianA105901CA

General Provider Information

NPI Number : 1295994309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIVANI CHOPRA M.D.
Provider Business Mailing Address
First Line : 4695 MACARTHUR CT STE 1100
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-1866
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4695 MACARTHUR CT STE 1100
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-1866
Country : US
Telephone Number : 949-482-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 04/22/2021

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