| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Irina Y. Gross | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Irina | [sources] | |||
| ID Number | SC006413 | [sources] | |||
| Last name | Gross | [sources] | |||
| Middle name | Y. | [sources] | |||
| NPI | 1992932941 | [sources] | |||
| Title | Podiatrist | [sources] | |||
| Position | DPM | [sources] | |||
| Address | (OH), (OH) | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-dea5079966fff9906424c0c8a14f546685f13322 · us-medde-bced43c7a9a73bf51156ac6882b27dd09980ef6eFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (OH), (OH) · OH, OH | United States | |
| United States | Pennsylvania Department of Human Services | - | - |