Type not stated
Screen this subjectPeter Bohdan Bandera
Debarred entityUnited States. Named in 1 sanctions listing.
Summary
License number: C10003885
Sanctions and listings1
- Effective
- 18 May 2016
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
REVOCATION Inactive-Precluded from participating in the Federal Health care programs. Recission Letter received effective 7/23/21; ORP Medicaid cert. only active. Managed Care Reporting Only- Active
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1316965643 |
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