Basic Information
Provider Information
NPI: 1275794331
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOPRA
FirstName: SACHIN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O., M.P.H
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 71 STREET
Address2: SUITE 620
City: MIAMI BEACH
State: FL
PostalCode: 331413089
CountryCode: US
TelephoneNumber: 6315147600
FaxNumber: 8772848933
Practice Location
Address1: 300 71 STREET
Address2: SUITE 620
City: MIAMI BEACH
State: FL
PostalCode: 331413089
CountryCode: US
TelephoneNumber: 3058669951
FaxNumber: 8772848933
Other Information
ProviderEnumerationDate: 06/21/2008
LastUpdateDate: 02/02/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X247381-1NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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