Provider Demographics
NPI:1942550363
Name:ABEYSEKERA, SHENALI (MD)
Entity Type:Individual
Prefix:
First Name:SHENALI
Middle Name:
Last Name:ABEYSEKERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 ST LUKES BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5670
Mailing Address - Country:US
Mailing Address - Phone:484-503-0628
Mailing Address - Fax:484-503-0631
Practice Address - Street 1:1700 ST LUKES BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5670
Practice Address - Country:US
Practice Address - Phone:484-503-0628
Practice Address - Fax:484-503-0631
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT202964207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology