MEDICARE: DR. GAJANAN RAMNATH SHANBHAG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	11281	SC
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	11281	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114985140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAJANAN RAMNATH SHANBHAG MD

Provider Business Mailing Address
First Line	:	511 CROSS ANCHOR RD
Second Line	:
City	:	WOODRUFF
State	:	SC
Zip	:	29388-2328
Country	:	US
Telephone Number	:	864-476-8195
Fax Number	:	864-476-3084

Provider Business Practice Location Address
First Line	:	511 CROSS ANCHOR RD
Second Line	:
City	:	WOODRUFF
State	:	SC
Zip	:	29388-2328
Country	:	US
Telephone Number	:	864-476-8195
Fax Number	:	864-476-3084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	08/06/2010

Similar Medicare Providers

1932170701 — DR. JAMES MURIEL GRAGG MD
Practice Location Address:

511 CROSS ANCHOR RD
WOODRUFF, SC
29388-2328

Practice Phone: 864-278-6031
Practice Fax: 864-560-5195

1487612412 — DR. PRAMILA GAJANAN SHANBHAG MD
Practice Location Address:

511 CROSS ANCHOR RD
WOODRUFF, SC
29388-2328

Practice Phone: 864-476-8195
Practice Fax: 864-476-3084

1548789019 — KATHLEEN HALL NP
Practice Location Address:

511 CROSS ANCHOR RD
WOODRUFF, SC
29388-2328

Practice Phone: 864-278-6031
Practice Fax:

1023758828 — THOMAS EDWARD BALINT DO
Practice Location Address:

511 CROSS ANCHOR RD
WOODRUFF, SC
29388-2328

Practice Phone: 864-560-5190
Practice Fax: 864-560-5195

1982608469 — DR. MUKESH M GANDHI M.D.
Practice Location Address:

409 E GEORGIA ST
WOODRUFF, SC
29388-1915

Practice Phone: 864-476-7068
Practice Fax: 864-476-7069

1417952375 — MRS. STEPHANIE L YOUNGER O.D.
Practice Location Address:

363 E GEORGIA ST
WOODRUFF, SC
29388-1913

Practice Phone: 864-476-8322
Practice Fax: 864-476-0752

Directions to “ DR. GAJANAN RAMNATH SHANBHAG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.