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Individual
SHIVASHANKAR DAMODARAN
Active
Individual
SHIVASHANKAR DAMODARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301508337
MI
Other
Enumeration date
05/17/2018
Last updated
05/25/2025
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