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Individual
SERGIO ALEJANDRO CARRILLO MELENDEZ
Active
Individual
SERGIO ALEJANDRO CARRILLO MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
35-134059
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
15567
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-134059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292924
—
OH
05
—
1801922307
—
NV
01
—
H644990
CGS - MEDICARE
OH
Enumeration date
02/26/2007
Last updated
03/03/2022
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