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G Jude Shadday, DO

Family Medicine in Elk Grove, CA. Individual provider (NPI-1).

NPI number1528097342
StatusActive
Last updated in NPPESJan 11, 2022

Details

NPI
1528097342
Entity type
Individual (NPI-1)
Name
G Jude Shadday
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jul 2, 2006
Last updated
Jan 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20A5847CAYes

Other names

  • George Jude Shadday (Other Name)

Practice location

8170 Laguna Blvd
Elk Grove, CA 95758-7901

Phone 916-691-5952

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539

Phone 800-470-0071

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