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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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