Individual
JOHN MICHAEL SADAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3044
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8703
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010140225
BLUE SHIELD
ID
01
—
290015068
RAILROAD MEDICARE
ID
01
—
51573
BLUE CROSS
ID
05
—
806441300
—
ID
Enumeration date
10/25/2005
Last updated
05/11/2016
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