Individual
LELA M EMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 SONOMA AVENUE, SUITE 202, SANTA ROSA, CA 95405
(707) 575-1626
(707) 575-3941
Mailing address
1111 SONOMA AVENUE, SUITE 202, SANTA ROSA, CA 95405
(707) 575-1626
(707) 575-3941
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G61698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811902612
—
CA
01
—
P01349999
RAILROAD MEDICARE
CA
Enumeration date
07/30/2006
Last updated
01/29/2019
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