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MOHAMED MAHMOUD ELMANDOUH

Debarred entity

MOHAMED MAHMOUD ELMANDOUH is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	ELMANDOUH MOHAMED MAHMOUD · MOHAMED MAHMOUD ELMANDOUH				[sources]
Birth date	1972-11-18				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	MOHAMED				[sources]
ID Number	`00030595`				[sources]
Last name	ELMANDOUH				[sources]
Middle name	MAHMOUD				[sources]
NPI	`1073818100`				[sources]
Sector	Physical Therapist				[sources]
Unique Entity ID	`CBNYRNKX82G6`				[sources]
Position	PHYSICAL THERAPY (IND- LIC HC SERV PRO)				[sources]
Address	155 BURKE AVENUE, STATEN ISLAND, NY 10314 · STATEN ISLAND, NY 10314				[sources]
Last change	2025-12-29	Last processed	2025-12-29	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	New York State Office of the Medicaid Inspector General		2021-11-11	-

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

United States · OMIG

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-fed-excl-mohamed-mahmoud-elmandouh-10314-staten-island · us-medny-fc2e8d377699ff491e61e47b664954ee4103c72d

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