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TYSHKOV, MICHAEL

Debarred entity
TypeLegal entity[sources]
NameTYSHKOV MICHAEL · TYSHKOV, MICHAEL · TYSHOV, MICHAEL[sources]
Legal formnot available[sources]
CountryUnited States of America[sources]
ID Number00180877[sources]
NPI1902882038[sources]
SectorMD · Physician[sources]
Statusnot available[sources]
Address87 SHREWSBURY DIRVE, LIVINGSTON, NJ 07039 · 87 SHREWSBURY DRIVE, LIVINGSTON, NJ 07039[sources]
Last changeLast processedFirst seen

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Data sources

US New York State Medicaid Exclusions8,701

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

United States of America · OMIG

US New Jersey Ineligible Medicaid Providers7,269

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

United States of America · OIFP


Source data IDs: us-mednj-a6f4fb9429fc545566771ce3b378878134b8b747 · us-mednj-6465a3913c0ab8aeb9f7c0926ce2f632bf2899d8 · us-medny-28801e09aa0435d291f5630468c770f9f0948d26

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