Kylym Soodonbekov, M.D.
Student in an Organized Health Care Education/Training Program in Bronx, NY. Individual provider (NPI-1).
Details
- NPI
- 1669308243
- Entity type
- Individual (NPI-1)
- Name
- Kylym Soodonbekov
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2026
- Last updated
- Nov 10, 2026
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
St. Barnabas Hospital4422 Third Avenue, Mills Building, 4th Floor, Room 406
Bronx, NY 10457-2594
Phone 718-960-6635 · Fax 718-960-9418
Mailing address
St. Barnabas Hospital4422 Third Avenue, Mills Building, 4th Floor, Room 406
Bronx, NY 10457-2594
Phone 718-960-6635 · Fax 718-960-9418
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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