Individual
MR. SHASHANK VODAPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
245 CHERRY ST SE STE 300, GRAND RAPIDS, MI 49503-4607
(616) 685-5050
Mailing address
35 SUMMER HILL CT, CHESHIRE, CT 06410-1361
(203) 631-1104
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101027901
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
08/20/2024
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