Canonical ID: us-mednj-53104796886893762d631689bf0c97a4dc996eda
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 4324 BEDFORD AVENUE, BROOKLYN, NY 11229 | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda | |||
LegalEntity:addressEntity | addr-f66485769ea476814a98c1df6cd4b0f9191136be | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda | |||
LegalEntity:id | 2f7bc895c6fb83fcdf25892c764c6bfd0313dfbc | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda | |||
LegalEntity:name | GORUKANTI, SURENDER | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda | |||
LegalEntity:npiCode | 1750488292 | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-53104796886893762d631689bf0c97a4dc996eda |