Individual
DR. STEPHEN J SHOCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
25626
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117974
—
MS
05
—
006705511
—
VA
05
—
009914140
—
AL
05
—
0527937
—
IA
05
—
060512301
—
TX
05
—
100029750A
—
OK
05
—
104632095
—
MI
05
—
1135201 00
—
WY
05
—
132329001
—
AR
05
—
1544400
—
LA
05
—
200179280A
—
IN
05
—
2006313
—
OH
05
—
208932400
—
MO
05
—
3810226
—
TN
05
—
422400000
—
ME
05
—
64926553
—
KY
05
—
7612401
—
NC
05
—
Q28626
—
SC
Enumeration date
05/27/2005
Last updated
10/02/2012
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