Person

Omar Khalid Hasan

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: PROMISe #103590093, Lic# 21693

Sanctions and listings2

  • Effective
    15 Apr 2020

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited States

    pa.gov

  • Effective
    15 Apr 2020

    Official designation

    Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    Terminate Provider Agreement-Active- Reporting Only Manage Care

    medicaid.dhss.delaware.gov

Identifiers2

IdentifierNumber
ID number21693 (WV)
NPI number1154347607

Other names1

Also known as1

Omar K Hasan

Addresses1

  • (WV), (WV)

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