Individual
SERGIO ALEJANDRO CARRILLO MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
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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