Provider Demographics
NPI:1861161135
Name:RAJAN CHOPRA, MD., A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:RAJAN CHOPRA, MD., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHOPRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-290-3670
Mailing Address - Street 1:2208 SHENANDOAH LN
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-6441
Mailing Address - Country:US
Mailing Address - Phone:714-290-3670
Mailing Address - Fax:
Practice Address - Street 1:2208 SHENANDOAH LN
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-6441
Practice Address - Country:US
Practice Address - Phone:714-290-3670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty