Kevin Victor Albert Jesudoss, M.B.B.S.
Student in an Organized Health Care Education/Training Program in Bethpage, NY. Individual provider (NPI-1).
Details
- NPI
- 1295583540
- Entity type
- Individual (NPI-1)
- Name
- Kevin Victor Albert Jesudoss
- Credential
- M.B.B.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2024
- Last updated
- Dec 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
Good Samaritan University Hospital/St. Joseph Hospital4295 Hempstead Tpke
Bethpage, NY 11714
Phone 516-520-2538 · Fax 516-520-2728
Mailing address
Graduate Medical Education - Good Samaritan University1000 Montauk Highway
West Islip, NY 11795
Phone 631-376-4163 · Fax 631-376-3420
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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