Ifeanyi Udezulu
Debarred entityUnited States. Named in 2 sanctions listings.
Summary
License number: MD4642
License number: C1-0007397
Sanctions and listings2
- Effective
- 3 Dec 2021
Official designation
CMSUS Delaware Medicaid Sanctioned ProvidersUnited States
Terminated for Medicare Revocation Enrollment Debarment, Abuse of Billing Pattern or Practice that CMS imposed on January 9, 2019
- Effective
- 18 Dec 2018
- Ended
- 8 Mar 2024
Official designation
Delaware Board of Medical Licensure and DisciplineUS Delaware Medicaid Sanctioned ProvidersUnited States
Med Xover Lab VFC Practitioner. Manage Care Medicaid Reporting Only-Active in DMES Consent Agreement- Probation with restrictions
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1275524944 |
Other names1
Also known as1
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