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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Chethan V. Byadgi | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Chethan | [sources] | |||
| ID Number | MD435733 | [sources] | |||
| Last name | Byadgi | [sources] | |||
| Middle name | V. | [sources] | |||
| NPI | 1063537215 | [sources] | |||
| Title | M.D. | [sources] | |||
| Address | Lackawanna, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| LACKAWANNA, PA · Lackawanna, PA | United States of America | |