Provider Demographics
NPI:1992105043
Name:CHOPRA, ANGELI (MD)
Entity type:Individual
Prefix:
First Name:ANGELI
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 MONTGOMERY RD
Mailing Address - Street 2:STE 200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4464
Mailing Address - Country:US
Mailing Address - Phone:207-907-3550
Mailing Address - Fax:207-907-3562
Practice Address - Street 1:358 BROADWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3929
Practice Address - Country:US
Practice Address - Phone:207-907-3550
Practice Address - Fax:207-907-3562
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD20140207RG0100X
OH35.132267207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology