| Mervat Kelada M D A Medical Corporation | |
|
207 E Barioni Blvd Imperial CA 92251-1619 | |
| (760) 355-2999 | |
| (760) 355-4150 |
| Full Name | Mervat Kelada M D A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 207 E Barioni Blvd, Imperial, California |
| Authorized Official Name and Position | Mervat Gamil Kelada (ADMINISTRATOR) |
| Authorized Official Contact | 7603554150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mervat Kelada M D A Medical Corporation 207 E Barioni Blvd Imperial CA 92251-1619 Ph: (760) 355-2999 | Mervat Kelada M D A Medical Corporation 207 E Barioni Blvd Imperial CA 92251-1619 Ph: (760) 355-2999 |
| NPI Number | 1538202726 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 2163507674 |
|---|---|
| Medicare Enrollment ID | O20091229000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538202726 | NPI | - | NPPES |
| A48353 | Other | CA | MD LICENSE # |
| 00A483532 | Medicaid | CA | |
| 00A483531 | Other | CA | INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A48353 (California) | Primary |
| Provider Name | Mervat G Kelada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255333035 PECOS PAC ID: 5092890426 Enrollment ID: I20091013000444 |
Manzana Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 Commerce Trl, Imperial, CA 92251 Phone: 760-332-8688 | |
Mervat Kelada M.d. A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 E Barioni Blvd Ste A, Imperial, CA 92251 Phone: 760-355-2999 Fax: 760-355-4150 | |
Imperial Valley Family Care Medical Group Apc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 516 West Aten Road, Suite 2, Imperial, CA 92251 Phone: 760-355-7730 Fax: 760-355-7731 | |
Mari Carlo Manzana, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 Commerce Trl, Imperial, CA 92251 Phone: 661-714-1560 | |
Centerpoint Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 W Aten Rd Ste D, Imperial, CA 92251 Phone: 760-545-0411 |