Eric K Yahav
Debarred entityUnited States. Named in 5 sanctions listings.
Summary
License number: C1-0010342
License number: PROMISe# 10309990
Sanctions and listings5
- Effective
- 17 Mar 2020
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Terminate Provider Agreement-Active- Reporting Only Managed Care
- Effective
- 1 Jan 2020
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited States
- Effective
- 1 Jan 2020
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Termination of Provider Agreement-Reporting Only-Active
- Effective
- 1 Jan 2020
- Ended
- 6 May 2021
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DEBARMENT
- Effective
- 17 Mar 2020
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited States
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD445512 |
| NPI number | 1013156686 |
Other names2
Also known as2
Addresses2
1720 DEVONSHIRE ROAD, DRESHER, PA 19025
Montgomery, PA
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