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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | GULAM MUKHDOMI · Gulam J Makhdomi | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 2437018 | [sources] | |||
| First name | Gulam | [sources] | |||
| Last name | MUKHDOMI · Makhdomi | [sources] | |||
| Middle name | J | [sources] | |||
| NPI | 1184653214 | [sources] | |||
| Sector | 20 - Physician/Osteopath Individual | [sources] | |||
| Position | PAIN MANAGEMENT (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 5159 E CALLE DEL NORTE, PHOENIX, AZ 85018 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
People and companies excluded from Federally funded health care programs
United States · OIG
us-medoh-2716405e8f7b362c53374a691382d62ba3062ef9 · us-fed-excl-gulam-mukhdomi-85018-phoenixFor experts: raw data explorer
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| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |