Individual
DR. SHEENA ELIZABETH TADIKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1734
(717) 738-6420
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 738-6420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61515348
WA
207P00000X
Emergency Medicine Physician
OS022444
PA
208M00000X
Hospitalist Physician
OS022444
PA
Other
Enumeration date
03/31/2020
Last updated
05/05/2025
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