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NPI 1891796058

Jose Kiamco Mendoza Jr., M.D.

Internal Medicine · Jackson, LA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 5:04 am EDT

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Jose Kiamco Mendoza Jr., M.D. is a health care provider (Internal Medicine) in Jackson, Louisiana with National Provider Identifier (NPI) 1891796058. The NPI was issued on Aug 9, 2005 and the registry record was last updated on Nov 2, 2023. The registry lists 2 licenses in Louisiana.

Registry record

NPI
1891796058
Type
Individual (NPI-1)
Primary specialty
Internal Medicine 207R00000X
Practice location
4502 Highway 951
Jackson, LA 70748-5103
Phone
(225) 634-4820
NPI issued
Aug 9, 2005
Registry record updated
Nov 2, 2023

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Internal Medicine Primary207R00000XLouisiana023159
Hospitalist208M00000XLouisiana023159

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Internal Medicine Physician providers in Louisiana

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.