Individual
ANDREW HAYS MERELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MSC11 6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO2024-0115
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2024-0115
NEW MEXICO MEDICAL LICENSE
NM
01
—
DR.0073955
COLORADO MEDICAL LICENSE
CO
Enumeration date
04/02/2022
Last updated
06/17/2025
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