Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shardul Koppar, DO

Individual provider Family Medicine Physician · NPI 1942756895

Dr. Shardul Koppar, DO is a Family Practice in Panama City, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2016, 10 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3232 E 15th St
Panama City, FL 32405-7423
Phone: (850) 532-5157
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS21535 (FL)

Record details

NPI number1942756895
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address2460 Old Moultrie Rd Ste 1, St Augustine, FL 32086-4198

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Panama City