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AGUSTIN VARRON VITUALLA

Debarred entity

AGUSTIN VARRON VITUALLA is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	AGUSTIN VARRON VITUALLA · VITUALLA AGUSTIN V MD				[sources]
Birth date	1947-03-21				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	AGUSTIN				[sources]
Last name	VITUALLA				[sources]
Middle name	VARRON				[sources]
NPI	`1134217029`				[sources]
Sector	Physician				[sources]
Unique Entity ID	`VRMGXBHVS3V6`				[sources]
Position	FAMILY PRACTICE (PHYSICIAN (MD, DO))				[sources]
Address	400 CHANEY ROAD, APT 518, SMYRNA, TN 37167 · SMYRNA, TN 37167				[sources]
Last change	2026-01-06	Last processed	2026-01-22	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	New York State Office of the Medicaid Inspector General		2022-11-20	-

People and companies excluded from Federally funded health care programs

United States · OIG

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

Source data IDs: us-medny-ac0caa801d816c9ca753266b64c64492f28740fa · us-fed-excl-agustin-varron-vitualla-37167-smyrna

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