Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 25626 | TN |
NPI | 1134122708 |
---|---|
Provider Name | Dr. Stephen J Shochat |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105-3678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 02/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00117974 | (05) | MS |
006705511 | (05) | VA |
009914140 | (05) | AL |
0527937 | (05) | IA |
060512301 | (05) | TX |
100029750A | (05) | OK |
104632095 | (05) | MI |
1135201 00 | (05) | WY |
132329001 | (05) | AR |
1544400 | (05) | LA |
200179280A | (05) | IN |
2006313 | (05) | OH |
208932400 | (05) | MO |
3810226 | (05) | TN |
422400000 | (05) | ME |
64926553 | (05) | KY |
7612401 | (05) | NC |
A46269 | (02) | TN |
Q28626 | (05) | SC |