RUDOLPH M SADA MD NPI 1538152517

NPI Information

NPI: 1538152517
Provider Name: RUDOLPH M SADA, MD
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Organization

Specialization: Nuclear Imaging & Therapy

Address:
521 EAST AVE
LOCKPORT, NY
ZIP 14094
Phone: (716) 514-5853
Get Directions

RUDOLPH M SADA, MD is a nuclear imaging and therapy nuclear medicine in Lockport, NY. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. RUDOLPH M SADA, MD NPI is 1538152517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

521 EAST AVE
LOCKPORT, NY
ZIP 14094-201
Phone: (716) 514-5853
Fax: (716) 434-6454

The provider's authorized official is Rudolph Muntu Sada .
The authorized official title is Owner/practitioner and has the following contact phone number (716) 434-0026.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	120789	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00010153901	OTHER	NEW YORK	UNIVERA
2	00362390	MEDICAID	NEW YORK
3	000507174001	OTHER	NEW YORK	BC & BS OF WESTERN NY
4	4906609	OTHER	NEW YORK	INDEPENDENT HEALTH ASSOCI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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