| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Justin S. Adibi · Justin Saam Adibi | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Justin | [sources] | |||
| ID Number | OS024003 | [sources] | |||
| Last name | Adibi | [sources] | |||
| Middle name | S. | [sources] | |||
| NPI | 1063073757 | [sources] | |||
| Registration number | OS024003 | [sources] | |||
| Title | DO | [sources] | |||
| Position | DO | [sources] | |||
| Address | Venango, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medde-1c5291984a14517d8ba16ab2044935bd53545ccc · us-medpa-e5d8a3012ede799878dbb2d4788c08198025a27aFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Venango, PA | United States | |
| United States | Pennsylvania Department of Human Services | - | - |