Shanvasectomy Pllc
NPI #1750185849 in Huntington Woods, Michigan
Provider Information
- NPI Number
- 1750185849
- Entity Type
- Organization
- Organization Name
- Shanvasectomy Pllc
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Apr 1, 2025
- Last Updated
- Apr 1, 2025
Practice Location
- Address
- 26711 WOODWARD AVE STE LLB
- City
- Huntington Woods
- State
- Michigan
- ZIP Code
- 48070-1370
- Phone
- (313) 314-6663
Authorized Official
- Name
- THULASI SHANMUKANATHAN, MD
- Title
- CEO/MD
- Phone
- (313) 314-6663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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