| Dr Shamly Venus Dhiman, MD | |
|
1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732-1188 | |
| (803) 324-5256 | |
| (803) 328-0440 |
| Full Name | Dr Shamly Venus Dhiman |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 1721 Ebenezer Rd Ste 175, Rock Hill, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245449354 | NPI | - | NPPES |
| 02878908 | Medicaid | NY | |
| 33450 | Other | SC | MEDICAL LICENSE |
| 2011-00725 | Other | NC | MEDICAL LICENSE |
| 244029 | Other | NY | MEDICAL LICENSE |
| 40388 | Other | TN | MEDICAL LICENSE |
| 334506 | Medicaid | SC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Medical Center | Rock hill, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Specialists Of Charlotte Pa | 3779519285 | 29 |
| Entity Name | Surgical Specialists Of Charlotte Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20150527001094 |
| Entity Name | Novant Health Prep Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033910708 PECOS PAC ID: 1052835311 Enrollment ID: O20250408001711 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shamly Venus Dhiman, MD Po Box 604350, Charlotte, NC 28260-4350 Ph: (704) 364-8100 | Dr Shamly Venus Dhiman, MD 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732-1188 Ph: (803) 324-5256 |
Dr. Kamran Borhanian, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 S. Herlong Ave., Suite G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Joliette Nicole Grace, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Herlong Ave S Ste G, Rock Hill, SC 29732 Phone: 803-909-6300 Fax: 803-909-6310 | |
Dr. Daniel Thomas Mcdevitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 Fax: 803-328-1785 | |
Dr. Manthan Dipak Makadia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732 Phone: 804-324-5256 | |
Dr. Christopher W Schroeder, MD Surgery Medicare: Medicare Enrolled Practice Location: 1721-07 Ebenezer Road, Suite 175, Rock Hill, SC 29732 Phone: 803-324-5256 Fax: 803-328-0440 | |
Dr. Robert D Randall Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1665 Herlong Ct, Suite A, Rock Hill, SC 29732 Phone: 803-329-8500 Fax: 803-329-8511 |