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Individual
DR. YOUSSRY J KELADA
Active
Individual
DR. YOUSSRY J KELADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00A370260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A370260
BLUESHIELD/BLUECROSS
CA
05
—
00A370260
—
CA
01
—
080007629
GBA PALMETTO/RAILROAD
CA
01
—
942875159
TRICARE
CA
Enumeration date
02/02/2006
Last updated
07/12/2013
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