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KATTUPALLI, GERONAMI

Debarred entity

KATTUPALLI, GERONAMI is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Geronami Kattupalli · KATTUPALLI, GERONAMI				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Geronami				[sources]
ID Number	`MD440359`				[sources]
Last name	Kattupalli				[sources]
NPI	`1992901433`				[sources]
Sector	MD				[sources]
Title	MD				[sources]
Address	175 BARRENS COURT, SUITE, PORT MATILDA, PA 16870 · Centre, PA				[sources]
Last change	2025-06-06	Last processed	2025-10-15	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Human Services		2020-10-15	-

Address
Full address	Country
Centre, PA	United States
175 BARRENS COURT, SUITE, PORT MATILDA, PA 16870	United States

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

Source data IDs: us-medpa-611102c9e246b94c5df665221e3b3ff63cec7372 · us-mednj-37b08c704c586e3db73c7aae60844286d4c6d80f

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