# RUDOLPH M SADA, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538152517
- **Authorized official:** DR. RUDOLPH MUNTU SADA M.D. (OWNER/PRACTITIONER)
- **Authorized official phone:** (716) 434-0026

## Contact information

- **Practice address:** 521 EAST AVE, LOCKPORT, NY 14094-3201
- **Practice address phone:** (716) 514-5853
- **Practice address fax:** (716) 434-6454
- **Mailing address:** PO BOX 656, LOCKPORT, NY 14095-0656
- **Mailing address phone:** (716) 434-0026
- **Mailing address fax:** (716) 434-6454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207UN0902X | Nuclear Imaging & Therapy Physician | 120789 | NY | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 08/22/2020