Individual
DR. PRAMILA GAJANAN SHANBHAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
207Q00000X
Family Medicine Physician
Primary
11750
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117509
—
SC
Enumeration date
05/01/2006
Last updated
07/08/2007
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