Provider Demographics
NPI:1508924606
Name:SADKA, GEORGE M (MD)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:M
Last Name:SADKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:930 BELLEFONTE AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LOCK HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17745-2754
Mailing Address - Country:US
Mailing Address - Phone:570-748-8900
Mailing Address - Fax:570-748-3200
Practice Address - Street 1:930 BELLEFONTE AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-2754
Practice Address - Country:US
Practice Address - Phone:570-748-8900
Practice Address - Fax:570-748-3200
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA025709 E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
180024645OtherRAILROAD MEDICARE
201011150OtherGEISINGER HEALTH PLAN
PA000999227004Medicaid
180024645OtherRAILROAD MEDICARE
411963ECPMedicare ID - Type Unspecified