Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shivashankar Damodaran, MD

Individual provider Urology Physician · NPI 1528558277

Shivashankar Damodaran, MD is an Urology in Port Huron, Michigan. Qualified in 2005, 21 years ago. Practices with Port Huron Physicians Medical Group PC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2611 Electric Ave Ste E
Port Huron, MI 48060-6587
Phone: (810) 216-3599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301508337 (MI)

Record details

NPI number1528558277
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESMay 25, 2025
Certification dateMay 25, 2025
Mailing address2611 Electric Ave Ste E, Port Huron, MI 48060-6587

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Port Huron Physicians Medical Group Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Huron