Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | F5383 | CA |
NPI | 1831319326 |
---|---|
Provider Name | Dr. Shamit Chopra |
First Address | Sacramento, CA 95834-3740 |
Second Address | Sacramento, CA 95817-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 12/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ZZZ05076Z | MEDICARE LEGACY (01) |