Individual
GERARDO MANUEL HEREDIA MELERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 102, FORT WAYNE, IN 46845-1707
(260) 425-5240
(260) 425-5245
Mailing address
125 E MAXWELL ST STE 300, LEXINGTON, KY 40508-2678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
50803
KY
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
01099156A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
50803
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100488350
—
KY
Enumeration date
08/24/2010
Last updated
03/19/2026
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