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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	2025-12-01	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Human Services		2015-05-25	-

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

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

United States · OIFP

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

United States · DHS

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

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