Provider Demographics
NPI:1790012334
Name:SHEKA, SREEDEVI KARTHIK (DDS)
Entity Type:Individual
Prefix:DR
First Name:SREEDEVI
Middle Name:KARTHIK
Last Name:SHEKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 COBBLESTONE LN
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8915
Mailing Address - Country:US
Mailing Address - Phone:610-509-1088
Mailing Address - Fax:
Practice Address - Street 1:17TH AND CHEW STREET
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18105-7017
Practice Address - Country:US
Practice Address - Phone:610-969-4839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0365231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry