Provider Demographics
NPI:1457846412
Name:ABEYEWARDENE, SHEHAN JUDE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEHAN
Middle Name:JUDE
Last Name:ABEYEWARDENE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:462 GRIDER ST.
Mailing Address - Street 2:UBMD ORTHOPEDICS- LOCATION 2
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3021
Mailing Address - Country:US
Mailing Address - Phone:716-248-1753
Mailing Address - Fax:
Practice Address - Street 1:462 GRIDER ST.
Practice Address - Street 2:UBMD LOCATION 2
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-248-1753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301115806207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery