Basic Information
Provider Information
NPI: 1174887830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOPRA
FirstName: ASHOK
MiddleName: CHANPARKASH
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 125 LAKE ST
Address2: 9H-NORTH
City: WHITE PLAINS
State: NY
PostalCode: 106042419
CountryCode: US
TelephoneNumber: 6466420238
FaxNumber:  
Practice Location
Address1: 550 1ST AVE
Address2: NYU
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 2122637300
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/27/2012
LastUpdateDate: 12/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300X269062NYN Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
207R00000X269062NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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