Individual
DR. SHAFFER RANDALL SHROPE MOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7120 MINSTREL WAY STE 100, COLUMBIA, MD 21045-5274
(410) 290-6677
(410) 290-6676
Mailing address
7120 MINSTREL WAY STE 100, COLUMBIA, MD 21045-5274
(410) 290-6677
(410) 290-6676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0102518
MD
207RG0100X
Gastroenterology Physician
D0102518
MD
207RG0100X
Gastroenterology Physician
MD452678
PA
207RG0100X
Gastroenterology Physician
Primary
ME153258
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2012
Last updated
05/10/2026
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