Provider Demographics
NPI:1063603033
Name:CHOPRA, MANJU (MD)
Entity type:Individual
Prefix:DR
First Name:MANJU
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2685 S. RAINBOW BLVD. STE 112
Mailing Address - Street 2:MEDICAL MARTS (GROUP) LLC
Mailing Address - City:LAS VEGAS,
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:630-579-0098
Mailing Address - Fax:
Practice Address - Street 1:808 N. ROUTE,MEIJER INCORPORATED
Practice Address - Street 2:COMMUNITY HEALTH SERVICES,SC DBA MEDICAL MARTS GROUP
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504
Practice Address - Country:US
Practice Address - Phone:630-236-6123
Practice Address - Fax:630-236-6133
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-097957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine