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DR. SHAJO KUNNATH VELAYUDHAN M.D.
NPI 1033644968
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 28, 2017PECOS Enrolled
1150 PELHAM PKWY S, APT 1F, BRONX, NY 10461(973) 634-7315 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shajo Kunnath Velayudhan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAJO KUNNATH VELAYUDHAN M.D. (NPI 1033644968) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033644968
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SHAJO KUNNATH VELAYUDHANCredential: M.D.
Location Address1150 PELHAM PKWY S, APT 1FBronx, NY 10461-1008
Mailing Address1150 Pelham Pkwy S, Apt 1fBronx, NY 10461-1008 · (973) 634-7315
Phone(973) 634-7315
Sole ProprietorYes
Enumeration DateApril 28, 2017
✔ NPI 1033644968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1150 PELHAM PKWY S, Bronx, NY 10461
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shajo Kunnath Velayudhan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Shajo Kunnath Velayudhan's NPI number?

The NPI number assigned to this healthcare provider is 1033644968, enumerated as an "individual" on April 28, 2017.

Where is the provider located?

The provider is located at 1150 PELHAM PKWY S APT 1F BRONX, NY 10461 and the phone number is (973) 634-7315.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.