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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | MANNAVA, VENKATA · Venkata Mannava | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Venkata | [sources] | |||
| Last name | Mannava | [sources] | |||
| NPI | 1356478895 | [sources] | |||
| Sector | R.Ph · RPH | [sources] | |||
| Address | 3300 EAST WEST HIGHWAY, HYATTSVILLE, MD 20782 · 3300 East West Highway Apt 706, Hyattsville MD 20783 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-eefb7c7fdc04c1a9e755cbb7cbb1e7ec4860b47e · us-medmd-6ac619fa071760d2ea7852fd2c44c69b601db753 · us-mednj-e406d1aa2f68f4218106450dcd36fb1afc39a43eFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | New Jersey Office of the State Comptroller | - | |||
| United States of America | Maryland Department of Health | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 3300 EAST WEST HIGHWAY, HYATTSVILLE, MD 20782 | United States of America | |