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Contact Information

MELCHOR MERCADO, MD
1501 CLAUS RD
MODESTO, CA95355
 Phone: 419-783-7880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MELCHOR MERCADO · (Male)

NPI # 1750374104
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 11/03/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # C53189
  • OH License # 35071066
  • OH Medicaid 2018391
  • Other 260044712 RAILROAD
  • OH Other 000000142657 ANTHEM
Hospital affiliation(s)
  • CAMERON MEMORIAL COMMUNITY HOSPITAL INC - (Critical Access)
    416 E MAUMEE ST
    ANGOLA, IN 46703
  • DEFIANCE REGIONAL MEDICAL CENTER - (Critical Access)
    1200 RALSTON AVENUE
    DEFIANCE, OH 43512
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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