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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Bakul I. Desai · DESAI BAKUL I · DESAI, BAKUL | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Bakul | [sources] | |||
| ID Number | 00143381 · 25MA03746000 | [sources] | |||
| Last name | Desai | [sources] | |||
| Middle name | I. | [sources] | |||
| NPI | 1376654624 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Title | MD | [sources] | |||
| Address | (NJ), (NJ) · 15 MOUNTAIN RIDGE DRIVE, LIVINGSTON, NJ 07039 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-52394bfa3a5fb407a7ec53d961340acc1832b43c · us-medny-e648214f25e10d687a7dac1b7d922c76dda20a81 · us-mednj-5690d0ca5669e455fe90e741b5a3ebeb4588ff97For 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 | |
| (NJ), (NJ) · NJ, NJ | United States of America | |
| United States of America | Department of Human Services | - | - |
| United States of America | New Jersey Office of the State Comptroller | - |
| United States of America | New York State Office of the Medicaid Inspector General | - | - |
| 15 MOUNTAIN RIDGE DRIVE, LIVINGSTON, NJ 07039 |
| United States of America |