MEDICARE: DR. PATRICK C. SADLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZB0001X	Blood Banking & Transfusion Medicine Physician	C50206	CA

General Provider Information

NPI Number	:	1194878892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK C. SADLER M.D.

Provider Business Mailing Address
First Line	:	4343 W. HERNDON AVE.
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722
Country	:	US
Telephone Number	:	559-389-5403
Fax Number	:	559-389-5503

Provider Business Practice Location Address
First Line	:	4343 W. HERNDON AVE.
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722
Country	:	US
Telephone Number	:	559-389-5403
Fax Number	:	559-389-5503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/31/2009

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