Basic Information
| Provider Information | |||||||||
| NPI: | 1982794756 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MERCADO-YAP | ||||||||
| FirstName: | EILEEN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1266 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURG | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202320273 | ||||||||
| FaxNumber: | 6202310081 | ||||||||
| Practice Location | |||||||||
| Address1: | 1102 E CENTENNIAL DR | ||||||||
| Address2: | |||||||||
| City: | PITTSBURG | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667626643 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202320273 | ||||||||
| FaxNumber: | 6202310081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085N0904X | O4-30453 | KS | Y | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology |
No ID Information.