| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | David Louis Sincavage, Jr. · David Sincavage | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 48339 | [sources] | |||
| First name | David | [sources] | |||
| Last name | Sincavage · Sincavage, Jr. | [sources] | |||
| Middle name | Louis | [sources] | |||
| NPI | 1528036191 | [sources] | |||
| Registration number | 00G545370 · G 54537 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 2601 Pennsylvania Ave., Apt. 827, Philadelphia, PA, 19130 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers terminated or excluded from Kentucky's Medicaid program.
United States · DMS
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-medca-c3fbc8ee1d0274861eb73139b9db717088a49015 · us-medky-94b31e4632a3b6365b3a68f5ec8da9e1cc21eb7dFor experts: raw data explorer
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| United States | Department of Health Care Services | - | - |