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Mahendraku mar Shah

Debarred entity
TypePerson[sources]
NameMahendraku mar Shah[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameMahendraku mar[sources]
Last nameShah[sources]
NPI1922172410[sources]
Address3009 Jackson Avenue, Point Pleasant, WV 25550[sources]
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Data sources

US West Virginia Medicaid Provider Exclusions and Terminations304

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States · MMIS


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