Provider Demographics
NPI:1487705281
Name:ADITYA CHOPRA, MD, PC
Entity type:Organization
Organization Name:ADITYA CHOPRA, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOPRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-266-8116
Mailing Address - Street 1:600 RIDGELY AVE
Mailing Address - Street 2:SUITE 231
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-266-8116
Mailing Address - Fax:
Practice Address - Street 1:600 RIDGELY AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1001
Practice Address - Country:US
Practice Address - Phone:410-266-8116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057028207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4051700 00Medicaid
DCS359OtherBCBS CAREFIRST BLUECHOICE
DCS359OtherBCBS CAREFIRST FEDERAL EMPLOYEE PROGRAM
DCS359OtherBCBS CAREFIRST BLUEPREFERRED
DCS359OtherBCBS CAREFIRST GHMSI
DC8691Medicare PIN
MD368MMedicare PIN
MDH32647Medicare UPIN
DCS359OtherBCBS CAREFIRST BLUEPREFERRED
DCG00933Medicare PIN