Individual
DR. SWAMINADHAN GNANASHANMUGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(650) 804-8093
Mailing address
5082 DUPONT DR, SANTA ROSA, CA 95409-3743
(650) 804-8093
(650) 804-8093
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036157660
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A171765
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME173914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128981100
—
FL
01
—
WF482
HFMG
FL
Enumeration date
10/15/2008
Last updated
11/11/2025
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