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CUSTIS KEVIN T MD

Debarred entity
TypePerson[sources]
NameCUSTIS KEVIN T MD · CUSTIS, KEVIN · KEVIN TYRONE CUSTIS[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameKEVIN[sources]
ID Number00211807[sources]
Last nameCUSTIS[sources]
Middle nameTYRONE[sources]
NPI1811976970[sources]
SectorMD · Physician[sources]
Unique Entity IDPHNTN47NLV21[sources]
PositionFAMILY PRACTICE (PHYSICIAN (MD, DO))[sources]
Address63 MEADOW LARK LANE, APT 1, BELLE MEAD, NJ 08502 · 908 MAIN STREET, ASBURY PARK, NJ 07712 · BELLE MEAD, NJ 8502, USA[sources]
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US SAM Procurement Exclusions105,691

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

US New York State Medicaid Exclusions8,711

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

US New Jersey Ineligible Medicaid Providers7,267

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

United States · OIFP

US Health and Human Sciences Inspector General Exclusions81,173

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-fed-excl-kevin-tyrone-custis-08502-belle-mead · NK-2E2Yj8qEUM8xZ6W82hugNB · us-mednj-115840301178a3c2b5bb71322a3adb98e21042f5 · us-fed-excl-kevin-tyrone-custis-8502-belle-mead · us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182

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