AZU A AJUDUA — OIG Excluded Provider (OYSTER BAY, NY, 1128a1)
AZU A AJUDUA — OIG Excluded Provider (OYSTER BAY, NY, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: AZU A AJUDUA; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | AZU A AJUDUA |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | INTERNAL MEDICINE |
| NPI | 1053442319 |
| City | OYSTER BAY |
| State | NY |
| ZIP | 11771 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2022-03-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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