Severyn Kushmeliuk, Med Student
Student in an Organized Health Care Education/Training Program in Baltimore, MD. Individual provider (NPI-1).
NPI number1366148751
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1366148751
- Entity type
- Individual (NPI-1)
- Name
- Severyn Kushmeliuk
- Credential
- Med Student
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2023
- Certification date
- Feb 6, 2023
- Last updated
- Feb 7, 2023
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
1800 Orleans StBaltimore, MD 21287-0010
Phone 410-955-5000
Mailing address
118 S Chester StBaltimore, MD 21231-2009
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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