Individual
ANUSHA GOPALKRISHNA SHANBHAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017-3439
(859) 287-3045
(859) 578-3800
Mailing address
P.O. BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01087807A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
56945
KY
Other
Enumeration date
07/06/2015
Last updated
12/18/2025
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