Type not stated
Screen this subjectTYSHKOV, MICHAEL
Debarred entityUnited States. Named in 3 sanctions listings.
Sanctions and listings3
- Effective
- 19 Oct 2021
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 8 Apr 2019
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 1 Apr 2021
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00180877 |
| NPI number | 1902882038 |
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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