Provider Demographics
NPI:1467973560
Name:CHOPRA, ELIZA MARIE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ELIZA
Middle Name:MARIE
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ELIZA
Other - Middle Name:MARIE
Other - Last Name:SLAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2280 OPITZ BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3362
Mailing Address - Country:US
Mailing Address - Phone:703-523-9750
Mailing Address - Fax:571-589-2001
Practice Address - Street 1:2280 OPITZ BLVD STE 320
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3362
Practice Address - Country:US
Practice Address - Phone:703-523-9750
Practice Address - Fax:571-589-2001
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101275017208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program