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Individual

RAMESH K CHOPRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
633 DUNLAWTON AVE, SUITE 2, PORT ORANGE, FL 32127-4342
(386) 756-1945
Mailing address
545 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(386) 239-8500

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0034323
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063291100
FL
01
10274
BLUE SHIELD
01
1900414
UNITED HEALTHCARE
01
340014853
RR MEDICARE
Enumeration date
05/11/2006
Last updated
07/21/2010
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