Basic Information
Provider Information
NPI: 1295729440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHEKA
FirstName: KARTHIK
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 206 E. BROWN ST.
Address2: POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER
City: EAST STROUDSBURG
State: PA
PostalCode: 183013006
CountryCode: US
TelephoneNumber: 5704204951
FaxNumber: 5704763754
Practice Location
Address1: 500 PLAZA COURT, SUITE A
Address2: PMC PHYSICIAN ASSOCIATES CARDIOLOGY
City: EAST STROUDSBURG
State: PA
PostalCode: 183018262
CountryCode: US
TelephoneNumber: 5704249970
FaxNumber: 5704242899
Other Information
ProviderEnumerationDate: 09/02/2005
LastUpdateDate: 09/21/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XMD426730PAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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