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Tarek Mohammed Ebrahim

Debarred entity
TypePerson[sources]
NameTarek Mohammed Ebrahim[sources]
AliasTarek Pharmacy, Inc.[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameTarek[sources]
Last nameEbrahim[sources]
Middle nameMohammed[sources]
NPI1467506808[sources]
Registration number36038 · PHA218770 · PHA228700 · PHA305250 · PHA326590 · 6 more...[sources]
SectorPharmacy[sources]
Address2550 E/ Slauson Avenue, # C, Huntington Park, CA 90255[sources]
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US California Medicaid Suspended and ineligible providers23,218

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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