Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Ibrahim T Beidari · Ibrahim T. Beidari | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Ibrahim | [sources] | |||
ID Number | RN605308 / SP016119 · SP016119 / RN605308 | [sources] | |||
Last name | Beidari | [sources] | |||
Middle name | T · T. | [sources] | |||
NPI | 1740636596 | [sources] | |||
Title | CRNP/RN · RN, CRNP | [sources] | |||
Address | Dauphin, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-513864e2262f2fb066c2d26eee405136d4f14317
· us-medpa-ff57470acea65aad1ca98c7e0e523bf95f1686d7
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
Dauphin, PA | United States of America |
United States of America | Department of Human Services | - | - |