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AYO AYODEJI AJIM — OIG Excluded Provider (RICHMOND, TX, 1128b4)

AYO AYODEJI AJIM — OIG Excluded Provider (RICHMOND, TX, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: AYO AYODEJI AJIM; Type: Individual; Provider category: PHYSICIAN (MD, DO).

NameAYO AYODEJI AJIM
TypeIndividual
Provider categoryPHYSICIAN (MD, DO)
SpecialtyPAIN MANAGEMENT
NPI1255378592
CityRICHMOND
StateTX
ZIP77406
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2017-01-19
SourceHHS-OIG LEIE

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