Type not stated

TYSHKOV, MICHAEL

Debarred entity

United States. Named in 3 sanctions listings.

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Sanctions and listings3

  • Effective
    19 Oct 2021

    Official designation

    New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States

    omig.ny.gov

  • Effective
    8 Apr 2019

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

  • Effective
    1 Apr 2021

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

Identifiers2

IdentifierNumber
ID number00180877
NPI number1902882038

Other names2

Also known as2

TYSHKOV MICHAELTYSHOV, MICHAEL

Addresses2

  • 87 SHREWSBURY DRIVE, LIVINGSTON, NJ 07039

  • 87 SHREWSBURY DIRVE, LIVINGSTON, NJ 07039

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