Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D0046333 | MD |
NPI | 1003862475 |
---|---|
Provider Name | Dr. Nitin Mohan Chopde |
First Address | Laurel, MD 20709-2889 |
Second Address | Laurel, MD 20707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 04/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
338011400 | (05) | MD |