Kelada, Youssry J

Kelada, Youssry J is an sole proprietor health care provider with primary practice located at 680 Sunrise Ave , Roseville CA 95661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelada, Youssry J can be contacted via phone (916) 786-4700.

Contact Information

Primary practice address
680 Sunrise Ave Roseville CA 95661
Phone: (916) 786-4700
Fax: (916) 786-3912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00A370260 California

Profile Details

NPI number 1316919442
LBN Legal business name Kelada, Youssry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Jul 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316919442 NPPES
California Other 942875159 TRICARE
California Other 00A370260 TRICARE
California MEDICAID 00A370260 TRICARE
California Other 080007629 TRICARE

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