MEDICARE: DR. SHOBASHALINI CHOKKALINGAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	35.093996	OH
2	207RC0000X	Cardiovascular Disease Physician	036134707	IL
3	207RC0000X	Cardiovascular Disease Physician	01060574A	IN
4	207RC0000X	Cardiovascular Disease Physician	ME175510	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01369970	OTHER	IL	RAILROAD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508865718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHOBASHALINI CHOKKALINGAM MD

Provider Business Mailing Address
First Line	:	1919 E HIGHWAY 50 STE 202
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1975
Country	:	US
Telephone Number	:	352-432-9585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 E HIGHWAY 50 STE 202
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1975
Country	:	US
Telephone Number	:	352-432-9585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	11/11/2025

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Directions to “ DR. SHOBASHALINI CHOKKALINGAM MD” Practice Location

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