Shanbhag, Ashish Gajanan
Shanbhag, Ashish Gajanan is an sole proprietor health care provider with primary practice located at 14605 Potomac Branch Dr Ste 100 , Woodbridge VA 22191. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Shanbhag, Ashish Gajanan can be contacted via phone (703) 738-4371.Contact Information
Primary practice address
14605 Potomac Branch Dr Ste 100
Woodbridge VA 22191
Phone: (703) 738-4371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 19477 | South Carolina |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 19477 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 19477 | South Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 19477 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 0101252651 | Virginia |
Profile Details
| NPI number | 1447308689 |
|---|---|
| LBN Legal business name | Shanbhag, Ashish Gajanan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Jul 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447308689 | NPPES |
| South Carolina | MEDICAID | 722-522 | |
| South Carolina | MEDICAID | 194774 |
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