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Organization
MEDERVA MEDICAL CORPORATION
Active
Organization
MEDERVA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED KALEEL MD (OWNER)
(954) 654-2857
Entity
Organization
Contact information
Practice address
4212 BALFOUR AVE, OAKLAND, CA 94610-1750
(954) 654-2857
Mailing address
4212 BALFOUR AVE, OAKLAND, CA 94610-1750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/18/2024
Last updated
06/26/2026
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