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TIMOTHY GORHAM

Debarred entity
TypePerson[sources]
NameTIMOTHY GORHAM · Timothy D Gorham II[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
DescriptionProvider ID: 0282960[sources]
First nameTimothy[sources]
Last nameGORHAM · Gorham II[sources]
Middle nameD[sources]
NPI1922505700[sources]
Sector96 - Behavioral Health Para-Professional[sources]
PositionMENTAL/BEHAVIORAL HE (EMPLOYEE - PRIVATE S)[sources]
Address12956 CEDAR ROAD, CLEVELAND, OH 44118[sources]
Last changeLast processedFirst seen

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Data sources

US Ohio Medicaid Excluded and Suspended Providers2,123

Medical providers excluded or suspended from Ohio's Medicaid program.

United States of America · ODM

US Health and Human Sciences Inspector General Exclusions80,987

People and companies excluded from Federally funded health care programs

United States of America · OIG


Source data IDs: us-medoh-cf428822d58523d66d0d0eafa39e26efff8d770b · us-fed-excl-timothy-gorham-44118-cleveland · us-medoh-a6b81b28b1735677739d7bf4ac4c35eeee5b5acb

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