Individual
SHAILENDRA CHOPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
38752
KY
2085R0202X
Diagnostic Radiology Physician
38752
KY
2085R0204X
Vascular & Interventional Radiology Physician
38752
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64086101
—
KY
01
—
CB5773
RR MEDICARE GROUP
GA
01
—
P00134375
RR MEDICARE PIN
GA
Enumeration date
07/03/2006
Last updated
11/02/2007
Update your record
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