Provider Demographics
NPI:1033900048
Name:SHEKU, ROSETTA
Entity type:Individual
Prefix:MRS
First Name:ROSETTA
Middle Name:
Last Name:SHEKU
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ROSETTA
Other - Middle Name:
Other - Last Name:SHEKU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1303 KINGSBURY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2023
Mailing Address - Country:US
Mailing Address - Phone:240-825-8058
Mailing Address - Fax:
Practice Address - Street 1:12001 CLEAVER DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1986
Practice Address - Country:US
Practice Address - Phone:240-825-8058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker