Nodari Davitiashvili
Debarred entityBorn 12 Nov 1949 (76 years old),United States. Named in 4 sanctions listings.
Sanctions and listings4
- Effective
- 19 Sep 2013
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Listed
- 20 Sep 2013
- Effective
- 19 Sep 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).
- Listed
- 3 Apr 2014
- Effective
- 30 Oct 2013
- Effective
- 19 Sep 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
1128b14
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held1
Period not retained
DENTIST (IND- LIC HC SERV PRO)
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00048309 |
| NPI number | 1417151945 |
Other names1
Also known as1
Addresses3
Rego Park, NY 11374
112-01 QUEEN BLVD, 25D, FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
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