Provider Demographics
NPI:1114061454
Name:JUDE, SADEKA J (MD)
Entity Type:Individual
Prefix:DR
First Name:SADEKA
Middle Name:J
Last Name:JUDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10403 HOSPITAL DR
Mailing Address - Street 2:STE G4
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3134
Mailing Address - Country:US
Mailing Address - Phone:301-856-3019
Mailing Address - Fax:301-856-9370
Practice Address - Street 1:4225 ALTAMONT PL
Practice Address - Street 2:SUITE 102
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3063
Practice Address - Country:US
Practice Address - Phone:301-870-9900
Practice Address - Fax:301-870-6458
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2011-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0069655207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1851473722OtherMEDICAL & SURGICAL CLINICS GROUP NPI
DC624316OtherHIGHMARK MEDICARE GROUP PIN
DCB776OtherCAREFIRST OF DC GROUP
MDKR10OtherHIGHMARK MEDICARE GROUP PIN
MDKR10MEOtherBCBS OF MARYLAND GROUP #