Basic Information
Provider Information
NPI: 1588782791
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOPRA
FirstName: HARPREET
MiddleName: KAUR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 909
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402010909
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 530 S JACKSON ST
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 40202
CountryCode: US
TelephoneNumber: 5028526395
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2007
LastUpdateDate: 05/31/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZC0500X39139KYN Allopathic & Osteopathic PhysiciansPathologyCytopathology
207ZP0102X39139KYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

ID Information
IDTypeStateIssuerDescription
200856320A05IN MEDICAID
00000052629201KYANTHEMOTHER
710001745005KY MEDICAID
5001585601KYPASSPORTOTHER
P0043022301KYMEDICARE RROTHER
285900000001KYPASSPORT ADVANTAGEOTHER


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