Ibrahim Toure Beidari

Debarred entity

Born 18 Jun 1984 (42 years old),United States. Named in 3 sanctions listings.

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Summary

License number: RN605308(PA), SP016119

Sanctions and listings3

Effective
20 Feb 2024
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
medicaid.dhss.delaware.gov
Effective
20 Feb 2024; 26 Jan 2018
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
20 Feb 2024
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov

Positions held2

Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)
Period not retained
CRNP/RN

Identifiers3

Identifier	Number
ID number	SP016119 / RN605308
ID number	RN605308 / SP016119
NPI number	1740636596

Other names1

Also known as1

Ibrahim T Beidari

Addresses2

239 REGENT RD, HARRISBURG, PA 17112
Dauphin, PA

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