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NPI Code Detail

MEDICARE: MELANI KEKULAWALA MD

MEDICARE: MELANI KEKULAWALA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4351050189MI

General Provider Information

NPI Number : 1326770645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANI KEKULAWALA MD
Provider Business Mailing Address
First Line : 467 LAUREL LN
Second Line :
City : CANTON
State : MI
Zip : 48187-4592
Country : US
Telephone Number : 513-582-7781
Fax Number :
Provider Business Practice Location Address
First Line : 650 STEWART RD
Second Line :
City : MONROE
State : MI
Zip : 48162-4222
Country : US
Telephone Number : 513-582-7781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2022
Last Update Date : 12/10/2025

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Directions to “ MELANI KEKULAWALA MD” Practice Location

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