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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | KOTHALANKA, SITARAMAKRISHNA · SITARAMAKRISHNA KOTHALANKA | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | UPIN: G77140 | [sources] | |||
| First name | SITARAMAKRISHNA | [sources] | |||
| Last name | KOTHALANKA | [sources] | |||
| NPI | 1184644080 | [sources] | |||
| Sector | MD | [sources] | |||
| Position | SURGERY (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 562 SW ROMORA BAY, PORT LUCIE, FL 34986 · 562 SW ROMORA BAY, PORT SAINT LUCIE, FL 34986 · PORT SAINT LUCIE, FL 34986, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-mednj-37ae352947cdca6c930895508f37f4249eb102ec · us-mednj-d8b39a971b95f8426e72944c1e87005af189b326 · us-fed-excl-sitaramakrishna-kothalanka-34986-port-saint-lucie · us-mednj-24f02465da32b6f4a0e71edc689498adc03ccafcFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 562 SW ROMORA BAY, PORT LUCIE, FL 34986 | United States | |
| United States | OPM | Reciprocal | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |