NPI 1063975647

Shashank Vodapally, DO

Practitioner Physical Medicine & Rehabilitation Physician Grand Rapids, MI

Practice location

Address: 245 Cherry St SE STE 300, Grand Rapids, MI 49503-4607
Phone: (616) 685-5050
Mailing address: 35 Summer Hill CT, Cheshire, CT 06410-1361

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5101027901 (MI)

Other Physical Medicine & Rehabilitation providers in Michigan →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063975647
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2019
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.