KASSEM MAHMOUD HALLAK
Debarred entityBorn 24 Sep 1958 (68 years old),United States. Named in 4 sanctions listings.
Summary
UPIN: G18780
Sanctions and listings4
- Effective
- 9 Nov 2013; 16 Dec 2011; 10 Oct 2013
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Suspended Summary Suspension Terminated
- Listed
- 3 Apr 2014
- Effective
- 27 Dec 2013
- Listed
- 3 Dec 2013
- Effective
- 20 Nov 2013
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 20 Nov 2013
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a2
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held1
Period not retained
FAMILY PRACTICE (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1629140447 |
Other names1
Also known as1
Addresses3
COLDWATER, MI 49036
141 FIRST ST, MDOC# 881919, COLDWATER, MI 49036
Charlotte, MI
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