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Omar Khalid Hasan

Debarred entity

Omar Khalid Hasan is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Omar K Hasan · Omar Khalid Hasan				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Omar				[sources]
ID Number	`21693 (WV)` · `Lic#21693` · `PROMISe #103590093`				[sources]
Last name	Hasan				[sources]
Middle name	K				[sources]
NPI	`1154347607`				[sources]
Sector	101Y00000X, 2084P0800X, 103T00000X, 207Q00000X				[sources]
Address	(WV), (WV)				[sources]
Last change	2025-12-15	Last processed	2025-12-15	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	Pennsylvania Department of Human services		2020-04-15	-

Address
Full address	Country
(WV), (WV) · - WV, - WV · WV, WV	United States

List of providers excluded from participating in the Delaware Medicaid program.

United States · DHSS

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

United States · DHS

Source data IDs: us-medpa-c390630f7efc4dd0f7afe6feb3d43507bff6698c · us-medde-53343df3400f3a45370a47df0c745cba1dca686a

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