Individual
DR. GAJANAN RAMNATH SHANBHAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 CROSS ANCHOR RD, WOODRUFF, SC 29388-2328
(864) 476-8195
(864) 476-3084
Mailing address
511 CROSS ANCHOR RD, WOODRUFF, SC 29388-2328
(864) 476-8195
(864) 476-3084
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11281
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
11281
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112817
—
SC
Enumeration date
05/01/2006
Last updated
08/06/2010
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