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Organization
MERVAT G. KELADA, M.D.
Active
Organization
MERVAT G. KELADA, M.D.
Active
Other names
De Anza Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MERVAT G. KELADA M.D. (ADMINISTRATOR)
(760) 562-6633
Entity
Organization
Contact information
Practice address
1001 BLAIR AVE, CALEXICO, CA 92231-2308
(760) 768-5055
(760) 768-5037
Mailing address
1001 BLAIR AVE, CALEXICO, CA 92231-2308
(760) 768-5055
(760) 768-5037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A48353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A483531
INSURANCE
CA
05
—
A48353
—
CA
Enumeration date
02/25/2008
Last updated
02/25/2008
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