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Individual
HAYNE Y KHALIL KELADA
Active
Individual
HAYNE Y KHALIL KELADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00A383740
CA
207Q00000X
Family Medicine Physician
Primary
A038374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A383740
ANTHEM
CA
05
—
00A383740
—
CA
01
—
080022454
RAILROAD H CARE
—
Enumeration date
09/08/2006
Last updated
06/05/2024
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