Provider Demographics
NPI:1275586521
Name:SADLO, HENRY BERNARD JR (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:BERNARD
Last Name:SADLO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-272-5100
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:234 E GRAY ST STE 554
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1914
Practice Address - Country:US
Practice Address - Phone:502-629-3838
Practice Address - Fax:502-629-3833
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27714207RC0000X
IN01038934207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000049367OtherANTHEM
KY004027OtherSIHO- CTS
KY2545144OtherCIGNA- CTS
KY50033353OtherPASSPORT- CTS
KY64277148Medicaid
KY000000723600OtherANTHEM- CTS
IN100344890Medicaid
KY1050460Medicaid
KY000057120IOtherHUMANA- CTS
KYP00948798OtherRAILROAD MEDICARE- CTS
KY50033353OtherPASSPORT- CTS
IN100344890Medicaid
KY2545144OtherCIGNA- CTS
KY000000049367OtherANTHEM
KYP00948798OtherRAILROAD MEDICARE- CTS
INM400049055Medicare PIN