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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | KHANNA, YASH K. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| NPI | 1093805012 | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | 310 CENTRAL AVENUE, EAST ORANGE, NJ 07018 · 825 BLOOMFIELD AVENUE, STE., VERONA, NJ 07044 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-86deb6495a43210fd598088e1fa9e9a7d409a5a7 · us-mednj-ff4c33578329b028185cf47ad4ce3f3af1496497For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 825 BLOOMFIELD AVENUE, STE., VERONA, NJ 07044 | United States of America | |
| United States of America | New Jersey Office of the State Comptroller | - | - |
| 310 CENTRAL AVENUE, EAST ORANGE, NJ 07018 | United States of America |