Rano Bofill
Debarred entityBorn 14 Mar 1942 (84 years old),United States. Named in 5 sanctions listings.
Summary
License number: 9512
UPIN: D49398
Sanctions and listings5
- Effective
- 20 Feb 2013
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 19 Jan 2012
Official designation
Kentucky Department for Medicaid ServicesUS Kentucky Terminated and Excluded ProvidersUnited States
Violation of KMAP Policy
- Listed
- 1 May 2013
- Effective
- 15 Mar 2013
- Listed
- 21 Feb 2013
- Effective
- 20 Feb 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 Feb 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
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held1
Period not retained
FAMILY PRACTICE (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD024342E |
| NPI number | 1699762914 |
Other names1
Also known as1
Addresses3
(WV), (WV)
MAN, WV 25635
309 W AVIS AVENUE, MAN, WV 25635
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