Basic Information
Provider Information
NPI: 1194783928
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOPRA
FirstName: USHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20 NORTHPOINTE PKWY STE 130
Address2:  
City: AMHERST
State: NY
PostalCode: 142286801
CountryCode: US
TelephoneNumber: 7165293990
FaxNumber: 7165293992
Practice Location
Address1: 565 ABBOTT RD
Address2:  
City: BUFFALO
State: NY
PostalCode: 142202039
CountryCode: US
TelephoneNumber: 7168282401
FaxNumber: 7166924342
Other Information
ProviderEnumerationDate: 05/02/2006
LastUpdateDate: 01/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X134250NYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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