Keleka Mela Internal Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

02002983A Issued in IN

Legal business name

KELEKA MELA INTERNAL MEDICINE LLC

Practice address

1909 University Blvd
Anderson, IN 46012-5129

Phone

(765) 425-9709

Fax

(317) 579-1980

NPI assigned

Jan 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derek T Murphy, DO

Title

Owner/ Authorized Representative

Phone

(765) 425-9709

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1255516399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 SAND CREEK BLVD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378792",
            "telephone_number": "317-509-0441",
            "fax_number": "317-579-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 UNIVERSITY BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460125129",
            "telephone_number": "765-425-9709",
            "fax_number": "317-579-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELEKA MELA INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "765-425-9709",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "02002983A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pawandeep Kaur, DDS
• Rayanah Kawam, DO
• Patrick Jamieson Kay, MD
• Deveon Kayzer
• Ronna Keffer
• David Nathaniel Keller-Hirst, LMHC
• Connie C Kellum, LCSW
• Brianne J Kelly, PT
• Kara Kennedy, OT
• Kimberly Kerr

• Primary Care Clinic/Center in Anderson, IN
• Providers in Anderson, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.