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Contact Information

GERARDO M HEREDIA MELERO, MD
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN46845-1707
 Phone: 260-425-5240
 Fax: 260-425-5245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GERARDO M HEREDIA MELERO · (Male)

NPI Number 1174839401
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2010
Last updated 03/19/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01099156A
  • KY License # 50803
  • KY Medicaid 7100488350
Hospital affiliation(s)
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
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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