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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ASHISH GAJANAN SHANBHAG, M.D.

Active Sole Proprietor

DR. ASHISH GAJANAN SHANBHAG, M.D. is a Interventional Vascular Surgery healthcare provider located in WOODBRIDGE, Virginia. NPI 1447308689 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · WOODBRIDGE, VA

Registration Details

NPI Number
1447308689
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2007 (19.415151012304 yrs)
Last Updated
Jul 23, 2018
Licenses
19477 (SC)
19477 (SC)
19477 (SC)
19477 (SC)
0101252651 (VA)
Sole Proprietor
Yes

Practice Information

Address
14605 POTOMAC BRANCH DR STE 100
WOODBRIDGE, VA, 22191
Browse VA providers · Browse ZIP 22191
Phone
7037384371
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Pain Medicine (PM&R)
Additional Specialty
Sports Medicine (PM&R)

Other Interventional Vascular Surgery Providers in WOODBRIDGE, VA

Name Credential NPI
DR. RAYMOND MARTIN HARRELL M.D. 1134325632
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.