| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Ahdi Ibrahim Elias · ELIAS, AHDI I | [sources] | |||
| Alias | Ahdi, Elias | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Ahdi | [sources] | |||
| Last name | Elias | [sources] | |||
| Middle name | Ibrahim | [sources] | |||
| NPI | 1700808219 | [sources] | |||
| Registration number | A 63745 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Address | 1042 MORRIS TPKE, SHORT HILLS, NJ 07078 · 1042 Morris Tpke Short Hills, NJ 07078 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-medca-4363588f996b0dd16eaf10aab88be8c5fd1208e0 · us-mednj-29a752510f772e04948b463a88b1ed4bd1cb857aFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 1042 MORRIS TPKE, SHORT HILLS, NJ 07078 | United States | |
| United States | Department of Health Care Services | - | - |