SHIVASHANKAR DAMODARAN

PORT HURON, MI
NPI1528558277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MI  4301508337)
Enumeration Date2018-05-17
Last Update Date2025-01-16
Business Address
SHIVASHANKAR DAMODARAN MD
2601 ELECTRIC AVE
PORT HURON, MI 48060-6587
Phone number: 810-216-1094
Mailing Address
SHIVASHANKAR DAMODARAN MD
2611 ELECTRIC AVE STE E
PORT HURON, MI 48060-6587
Phone number: 810-216-3599