Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Namrata M Shidhaye, MD

Individual provider Family Medicine Physician · NPI 1356398432

Namrata M Shidhaye, MD is a Family Practice in Columbia, South Carolina. Qualified in 1990, 36 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
36
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10040 Two Notch Rd
Columbia, SC 29223-4396
Phone: (803) 788-1153
Fax: (803) 933-3045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11200 Governor Manly Way Ste 114, Raleigh, NC 27614-7360 — (919) 570-7660

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2012-01424 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 27439 (SC)

Record details

NPI number1356398432
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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