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MOURACHOV, PAVEL

Debarred entity

MOURACHOV, PAVEL is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	MOURACHOV, PAVEL · Pavel V Mourachov				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Pavel				[sources]
ID Number	`MD071992L`				[sources]
Last name	Mourachov				[sources]
Middle name	V				[sources]
NPI	`1083711121`				[sources]
Title	MD				[sources]
Address	(NM), (NM) · 3917 WEST ROAD, SUITE 137, LOS ALAMOS, NM 87544				[sources]
Last change	2024-11-29	Last processed	2025-10-15	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	New Jersey Office of the State Comptroller		2015-12-29	-

Address
Full address	Country
3917 WEST ROAD, SUITE 137, LOS ALAMOS, NM 87544	United States

Medical providers who are precluded from participation in the Medical Assistance Program

United States of America · DHS

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States of America · OIFP

Source data IDs: us-mednj-5d988b9136f29a32e989a6de0c6af6d19858f9f1 · us-medpa-3667c952ebc2c11cf305e04ed229a2ef96bdeab2

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