Individual
ISHAN BHANSALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605
(864) 455-4411
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021-02145
NC
207Q00000X
Family Medicine Physician
Primary
32920
SC
208M00000X
Hospitalist Physician
2021-02145
NC
208M00000X
Hospitalist Physician
32920
SC
Other
Enumeration date
06/19/2010
Last updated
10/31/2024
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