Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Hanan Tosson | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | License No: 22845 | [sources] | |||
First name | Hanan | [sources] | |||
Last name | Tosson | [sources] | |||
NPI | 1588615231 | [sources] | |||
Sector | MD | [sources] | |||
Address | 185 N. Farwell Avenue, Milwaukee, WI 53201 · 255 Scott Avenue, Morgantown WV 26508 | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
us-medwv-25282d6236b27e491521bfb53df8ed334f482d9a
· us-medmd-bc76cba37045d4ddd94467de7d252ea8271485d3
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Maryland Department of Health | - |
Address | ||
---|---|---|
Full address | Country | |
185 N. Farwell Avenue, Milwaukee, WI 53201 | United States of America |
United States of America | Medicaid Management Information System | - | - |