Organization
ANTHONY KELADA PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KELADA MD (PRESIDENT)
(916) 218-2277
Entity
Organization
Contact information
Practice address
991 RESERVE DR STE B, ROSEVILLE, CA 95678-1350
(916) 789-8811
(916) 789-8809
Mailing address
991 RESERVE DR STE B, ROSEVILLE, CA 95678-1350
(916) 789-8811
(916) 789-8809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659790624
NPI
—
Enumeration date
08/22/2019
Last updated
01/08/2020
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