| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | QURESHI SHAMS · QURESHI, SHAMS · Shams M. Qureshi | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Shams | [sources] | |||
| ID Number | 00171182 · 25MA04670600 | [sources] | |||
| Last name | Qureshi | [sources] | |||
| Middle name | M. | [sources] | |||
| NPI | 1194743377 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Title | MD | [sources] | |||
| Address | (NJ), (NJ) · 1084 MAIN AVENUE, CLIFTON, NJ 07011 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-medpa-2274ca4de669ccb2d7dc6a9f0eed0ecfda11b25b · us-mednj-02b0664e5ee69c25a3d2f842cba5206ddf53ab5e · us-medny-7f7b40ce30af61cf629ca33faaa32dc0ce804106For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New York State Office of the Medicaid Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 1084 MAIN AVENUE, CLIFTON, NJ 07011 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | Department of Human Services | - | - |
| (NJ), (NJ) · NJ, NJ | United States |