MEDICARE: DR. SHEHAN JUDE ABEYEWARDENE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	4301115806	MI

General Provider Information

NPI Number	:	1457846412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEHAN JUDE ABEYEWARDENE MD

Provider Business Mailing Address
First Line	:	462 GRIDER ST.
Second Line	:	UBMD ORTHOPEDICS- LOCATION 2
City	:	BUFFALO
State	:	NY
Zip	:	14215-3021
Country	:	US
Telephone Number	:	716-248-1753
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 S WESTERN AVE STE 101
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-2993
Country	:	US
Telephone Number	:	405-692-3783
Fax Number	:	405-692-3700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	07/29/2025

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