Cosman Camilo Mandujano Bejarano
Surgery in Bronx, NY. Individual provider (NPI-1).
NPI number1013399666
StatusActive
Last updated in NPPESDec 1, 2023
Details
- NPI
- 1013399666
- Entity type
- Individual (NPI-1)
- Name
- Cosman Camilo Mandujano Bejarano
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2015
- Certification date
- Dec 1, 2023
- Last updated
- Dec 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 312812 | NY | Yes |
Practice location
111 E 210th StBronx, NY 10467-2401
Phone 832-675-0676
Mailing address
330 Cedar Street,ynhh, Department Of SurgeryNew Haven, CT 06520
Phone 832-675-0676
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