Individual
DR. SHARAD ANANT GHAMANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, GEORGIA REGENTS MEDICAL ASSOCIATES, AUGUSTA, GA 30912-0004
(706) 721-3993
(706) 721-9777
Mailing address
1120 15TH ST, GEORGIA REGENTS MEDICAL ASSOCIATES, AUGUSTA, GA 30912-0004
(706) 721-3992
(706) 721-9777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
049173
GA
207VX0201X
Gynecologic Oncology Physician
Primary
207VX0201X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00876675D
—
GA
01
—
2166545
UNITED HEALTHCARE
GA
01
—
559555
BLUE CROSS BLUE SHIELD
GA
01
—
7398139
AETNA
GA
05
—
G49173
—
SC
Enumeration date
12/29/2005
Last updated
08/14/2015
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