Shalini Marie Therese Abeyewardene

Individual provider Active NPI Pediatrics Physician · Oklahoma City, OK

NPI 1134895329 · NPPES record last updated May 31, 2025

Key facts

NPI
1134895329
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
45683 (OK)
Practice address
1200 Childrens Ave # 14000
Oklahoma City, OK 73104-4637
Phone
(405) 271-4417
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
45683OKMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45683 OK Yes

Addresses

Primary practice location

1200 Childrens Ave # 14000
Oklahoma City, OK 73104-4637

Mailing address

1200 Childrens Ave # 14000
Oklahoma City, OK 73104-4637
Phone (405) 271-4417

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Pediatrics Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.