Organization
SHANVASECTOMY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THULASI SHANMUKANATHAN MD (CEO/MD)
(313) 314-6663
Entity
Organization
Contact information
Practice address
26711 WOODWARD AVE STE LLB, HUNTINGTON WOODS, MI 48070-1370
(313) 314-6663
Mailing address
26711 WOODWARD AVE STE LLB, HUNTINGTON WOODS, MI 48070-1370
(313) 314-6663
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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