Adnan Zawawi
Debarred entityUnited States. Named in 3 sanctions listings.
Summary
License number: PROMISe# 101174268
Sanctions and listings3
- Effective
- 15 Oct 2022
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 15 Oct 2022
- Ended
- 6 Oct 2023
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Criminal Convictions of Medical-related offenses; preluded from participating as a provider in the MA program for 1 year period.
- Effective
- 21 Nov 2022
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD029815E |
| NPI number | 1477538742 |
Other names1
Also known as1
Addresses2
Cumberland, PA
154 ENFORD ROAD, APT 304, CAMP HILL, NJ 17011
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