Iraj Derakhshan
Debarred entityBorn 21 Jul 1943 (83 years old),United States. Named in 5 sanctions listings.
Sanctions and listings5
- Effective
- 28 Jan 2016
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Excluded Indefinitely
License revoked by WV BOM
- Listed
- 17 Aug 2017
- Effective
- 30 Apr 2017
- Listed
- 20 Mar 2017
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 Mar 2017
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 20 Mar 2017
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Positions held1
Period not retained
NEUROLOGY (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 18591 (WV) |
| NPI number | 1124088380 |
Other names1
Also known as1
Addresses4
Charleston, WV 25314
205 CYPRUS POINT, CHARLESTON, WV 25314
(WV), (WV)
1206 Quarrier Street, Suite 101, Charleston, WV 25301
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