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Contact Information

MERVAT G KELADA, MD
1001 BLAIR AVE
CALEXICO, CA92231
 Phone: 760-768-5055
 Fax: 760-768-5037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MERVAT G KELADA · (Female)

NPI # 1255333035
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A48353
  • CA Medicaid RHM53866F
  • AZ Other 28248 ARIZONA LICENSE NUMBER
  • CA Other 05D0906507 CLIA ID NUMBER
  • CA Other 330742343 E.I.N. NUMBER
  • CA Other 00A483531 INSURANCE
  • CA Other A48353 LICENSE NUMBER
  • CA Other 032437 VFC IDENTIFIER
  • FL Other ME 62257 FLORIDA LICENSE NUMBER
  • MI Other 13070 MISSISSIPPI LICENSE NUMBE
Hospital affiliation(s)
  • EL CENTRO REGIONAL MEDICAL CENTER - (Acute Care)
    1415 ROSS AVENUE
    EL CENTRO, CA 92243
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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