Mervat G Kelada, MD | |
1001 Blair Ave, Calexico, CA 92231 | |
(760) 768-5055 | |
(760) 768-5037 |
Full Name | Mervat G Kelada |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1001 Blair Ave, Calexico, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255333035 | NPI | - | NPPES |
032437 | Other | CA | VFC IDENTIFIER |
28248 | Other | AZ | ARIZONA LICENSE NUMBER |
A48353 | Other | CA | LICENSE NUMBER |
RHM53866F | Medicaid | CA | |
13070 | Other | MI | MISSISSIPPI LICENSE NUMBE |
ME 62257 | Other | FL | FLORIDA LICENSE NUMBER |
00A483531 | Other | CA | INSURANCE |
330742343 | Other | CA | E.I.N. NUMBER |
05D0906507 | Other | CA | CLIA ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A48353 (California) | Primary |
Entity Name | Mervat Kelada M D A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538202726 PECOS PAC ID: 2163507674 Enrollment ID: O20091229000580 |
Mailing Address | Practice Location Address |
---|---|
Mervat G Kelada, MD 1001 Blair Ave, Calexico, CA 92231 Ph: (760) 768-5055 | Mervat G Kelada, MD 1001 Blair Ave, Calexico, CA 92231 Ph: (760) 768-5055 |
Dr. Daniel Samano, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 420 Heffernan Ave Ste 2b, Calexico, CA 92231 Phone: 760-618-4625 | |
Dr. Veronica Yee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Birch St, Calexico, CA 92231 Phone: 760-768-6262 | |
Issadora Lara, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 | |
Dr. Jaime E Estrada, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E. Birch St, Hwy 98, Suite 1, Calexico, CA 92231 Phone: 760-890-5593 Fax: 760-545-0251 | |
Keri Denise Valdez, MSN, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 251 W Cole Blvd, Calexico, CA 92231 Phone: 760-554-4828 | |
Dr. Scott George Bourns, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 734-883-5662 |