Damodaran, Shivashankar
Damodaran, Shivashankar is an individual health care provider with primary practice located at 2601 Electric Ave , Port Huron MI 48060-6587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Damodaran, Shivashankar can be contacted via phone (810) 216-1094.Contact Information
Primary practice address
2601 Electric Ave
Port Huron MI 48060-6587
Phone: (810) 216-1094
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301508337 | Michigan |
Profile Details
| NPI number | 1528558277 |
|---|---|
| LBN Legal business name | Damodaran, Shivashankar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2018 |
| Last updated | Dec 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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