Heredia Melero, Gerardo Manuel

Heredia Melero, Gerardo Manuel is an sole proprietor health care provider with primary practice located at 125 E Maxwell St Ste 140 , Lexington KY 40508-2678. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Heredia Melero, Gerardo Manuel can be contacted via phone (859) 323-0005.

Contact Information

Primary practice address
125 E Maxwell St Ste 140 Lexington KY 40508-2678
Phone: (859) 323-0005
Fax: (859) 323-0790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 50803 Kentucky
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 50803 Kentucky

Profile Details

NPI number 1174839401
LBN Legal business name Heredia Melero, Gerardo Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2010
Last updated Jul 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174839401 NPPES
Kentucky MEDICAID 7100488350

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