HomeNPI Verification

NPI Verification

National Provider Identifier: 1528558277

Shivashankar Damodaran, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

Practice Address

2611 ELECTRIC AVE STE E

PORT HURON, MI 480606587

Phone: 810-216-3599

NPI Enumeration Date

May 17, 2018

NPI Number

1528558277

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry