Individual
LOPA B ZAVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 778-7555
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7200A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313488
BLUE SHIELD
WY
01
—
P00212620
RAILROAD MEDICARE
WY
Enumeration date
07/21/2006
Last updated
10/07/2010
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