Agudo, Mercedes E

Agudo, Mercedes E is an individual health care provider with primary practice located at 3842 E Thunderbird Rd Ste 200 , Phoenix AZ 85032-5770. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Agudo, Mercedes E can be contacted via phone (602) 599-2000.

Contact Information

Primary practice address
3842 E Thunderbird Rd Ste 200 Phoenix AZ 85032-5770
Fax: (602) 599-2009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 37160 Arizona
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 37160 Arizona

Profile Details

NPI number 1659301638
LBN Legal business name Agudo, Mercedes E
Credentials MD, FAPA, DFAACAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 20th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659301638 NPPES
Pennsylvania MEDICAID 0019655190001
Pennsylvania MEDICAID 266126

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