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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Ifeanyi Udezulu | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| ID Number | MD4642 | [sources] | |||
| NPI | 1275524944 | [sources] | |||
| Sector | 207RG0100X, 207R10200X, 207R00000X, 207QG0300X, 207RX0202X, 207P00000X, 207R00000X, 208000000X, 208M00000X, 207RP1001X, 207U00000X, 363L00000X, 207Q00000X | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Delaware Board of Medical Licensure and Discipline | ||||