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Individual
MELCHOR MERCADO
Active
Individual
MELCHOR MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35071066
OH
2084P0800X
Psychiatry Physician
Primary
C53189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142657
ANTHEM
OH
05
—
2018391
—
OH
01
—
260044712
RAILROAD
—
Enumeration date
08/31/2005
Last updated
09/16/2026
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