Provider Demographics
NPI:1942272638
Name:CEKADA, EMIL J (MD)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:J
Last Name:CEKADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:130 GLENDALE DR W
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-2770
Mailing Address - Country:US
Mailing Address - Phone:252-399-7557
Mailing Address - Fax:252-399-1324
Practice Address - Street 1:130 GLENDALE DR W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-2770
Practice Address - Country:US
Practice Address - Phone:252-399-7557
Practice Address - Fax:252-399-1324
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9700893208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1056COtherBCBS
NC3780062OtherAETNA HMO
NC1523208OtherFIRST HEALTH
NC5747544OtherAETNA
NC7102463Other7102463
NC1903465OtherUNITED
NC9049096OtherPRIVATE HEALTH CARE SYST
NCP00221796OtherRR MEDC
NC246290584OtherCHAMPUS
NCE1228OtherMEDCOST
NC212568OtherBEECHSTREET/FOCUS
NC31862OtherPARTNERS
NC891056CMedicaid
G52522Medicare UPIN
NC1903465OtherUNITED
NC9049096OtherPRIVATE HEALTH CARE SYST