Individual
DR. SHAWN CHOPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8773 PERIMETER PARK CT, JACKSONVILLE, FL 32216-1165
(904) 493-3390
(904) 493-3395
Mailing address
8773 PERIMETER PARK CT, JACKSONVILLE, FL 32216-1165
(904) 493-3390
(904) 493-3395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME109109
FL
208M00000X
Hospitalist Physician
Primary
ME109109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003715801
MEDICAID - INDIVIDUAL
FL
01
—
14EL9
FLORIDA BLUE
FL
01
—
2610299-00
MEDICAID - GROUP
FL
01
—
353570
AVMED
FL
01
—
45681
MEDICARE - GROUP
FL
01
—
611334
WELLCARE
FL
01
—
FK679X
MEDICARE - INDIVIDUAL
FL
01
—
P01101952
RR MEDICARE
FL
Enumeration date
07/22/2008
Last updated
08/04/2016
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