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Mohammed M. Mohiuddin

Debarred entity

Mohammed M. Mohiuddin is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Mohammed M. Mohiuddin · Mohammed Mohiuddin				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
Description	License No: D20015				[sources]
First name	Mohammed · Mohammed M.				[sources]
Last name	Mohiuddin				[sources]
NPI	`1023293826`				[sources]
Sector	MD				[sources]
Address	110 BAUGHMANS LANE SUITE 201, Frederick MD 21702 · 710 Summerset Blvd, Charles Town, WV 25414				[sources]
Last change	2024-10-15	Last processed	2025-12-01	First seen	2024-10-02

Sanctions
Country	Authority	Program	Start date	End date
United States	Medicaid Management Information System		2022-05-31	-

Address
Full address	Country
710 Summerset Blvd, Charles Town, WV 25414	United States

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States · MMIS

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States · MDH

Source data IDs: us-medmd-a90d66cc3276667c75d3eb32c5d52a0182951789 · us-medwv-c3807cc08be669b9c445508fa71ed73088c1a4a1

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