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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Hanan Mahmoud Tosson · Hanan Tosson | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: 22845 | [sources] | |||
| First name | Hanan | [sources] | |||
| ID Number | 22845 (WV) | [sources] | |||
| Last name | Tosson | [sources] | |||
| Middle name | Mahmoud | [sources] | |||
| NPI | 1588615231 | [sources] | |||
| Sector | MD | [sources] | |||
| Title | MD | [sources] | |||
| Address | (WV), (WV) · 185 N. Farwell Avenue, Milwaukee, WI 53201 · 255 Scott Avenue, Morgantown WV 26508 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
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
us-medmd-bc76cba37045d4ddd94467de7d252ea8271485d3 · us-medwv-25282d6236b27e491521bfb53df8ed334f482d9a · us-medpa-4dfc25ed3d8368be7356a7a67ab08bb4a9345611For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Medicaid Management Information System | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| (WV), (WV) · - WV, - WV · WV, WV | United States | |
| United States | Department of Human Services | - | - |
| United States | Maryland Department of Health | - | - |
| 185 N. Farwell Avenue, Milwaukee, WI 53201 | United States |