Khalil Kelada, Hayne Y
Khalil Kelada, Hayne Y is an sole proprietor health care provider with primary practice located at 1000 Camerado Dr , Cameron Park CA 95682-8864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Khalil Kelada, Hayne Y can be contacted via phone (530) 677-3688.Contact Information
Primary practice address
1000 Camerado Dr
Cameron Park CA 95682-8864
Phone: (530) 677-3688
Fax: (530) 677-5563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A038374 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 00A383740 | California |
Profile Details
| NPI number | 1417051749 |
|---|---|
| LBN Legal business name | Khalil Kelada, Hayne Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Jun 5th, 2024 - about last year |
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 | 1417051749 | NPPES |
| California | Other | 00A383740 | ANTHEM |
| California | MEDICAID | 00A383740 | ANTHEM |
| California | Other | 080022454 | ANTHEM |
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