Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Hisham M Shawish · SHAWISH HISHAM | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Hisham | [sources] | |||
ID Number | 00292095 · MD439870 | [sources] | |||
Last name | Shawish | [sources] | |||
Middle name | M | [sources] | |||
NPI | 1982806014 | [sources] | |||
Sector | Physician | [sources] | |||
Address | Erie, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medny-fd145f4f2425f91ecfaa9ba7a05d0cd93ec6ee43
· us-medpa-bd9b73b83796e7ffe465212ab7297ff45a3108cd
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New York State Office of the Medicaid Inspector General | - |
Address | ||
---|---|---|
Full address | Country | |
Erie, PA | United States of America |
United States of America | Department of Human Services | - | - |