Provider Demographics
NPI:1124110861
Name:KUDCHADKER, SHEELA (DDS MS PA)
Entity type:Individual
Prefix:DR
First Name:SHEELA
Middle Name:
Last Name:KUDCHADKER
Suffix:
Gender:F
Credentials:DDS MS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 BROADWAY
Mailing Address - Street 2:STE 119
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8094
Mailing Address - Country:US
Mailing Address - Phone:281-436-8877
Mailing Address - Fax:281-854-2925
Practice Address - Street 1:9415 BROADWAY
Practice Address - Street 2:STE 119
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8094
Practice Address - Country:US
Practice Address - Phone:281-436-8877
Practice Address - Fax:281-854-2925
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics