Provider Demographics
NPI:1972228294
Name:CHOPRA, RAHUL (DDS)
Entity type:Individual
Prefix:
First Name:RAHUL
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 E TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2173
Mailing Address - Country:US
Mailing Address - Phone:559-688-8069
Mailing Address - Fax:
Practice Address - Street 1:617 E TERRACE AVE
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2173
Practice Address - Country:US
Practice Address - Phone:559-688-8069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty