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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Samir Anthony Shamimur Berri Cole Rahman | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Samir Anthony Shamimur | [sources] | |||
| Last name | Berri Cole Rahman | [sources] | |||
| NPI | 1861882599 · 1962764506 | [sources] | |||
| Sector | Pharmacy | [sources] | |||
| Address | Hazel Park, MI · Warren, MI | [sources] | |||
| Last change | Last processed | First seen | |||
Providers who have been terminated for cause from Michigan's Medicaid program.
United States · MDHHS
us-medmi-e526c070f198b6c05dc03bd97aac6429d654be1e · us-medmi-d536b3008cb7ef09e27078b0a85a3adafd4bd391For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Michigan Department of Health & Human Services | - | |||
| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| Buckley's Pharmacy 102 Debarred entity | - | - | - | |
| Buckley's Pharmacy 105 | ||||
| United States | Michigan Department of Health & Human Services | - | - |
| - |
| - |
| - |