Doctor Name: | DR. SHARAD ANANT GHAMANDE |
NPI Number: | 1174500128 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 049173 |
Business Practice Address: | 1120 15th St Georgia Regents Medical Associates Augusta, GA - 309120004 |
Business Phone Number: | 7067213993 |
Business Fax Number: | 7067219777 |
Mailing Address: | 1120 15th St, Georgia Regents Medical Associates AUGUSTA |
State: | GA |
Postal Code: | 309120004 |
Phone Number: | 7067213992 |
Fax Number: | 7067219777 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 049173 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |