BEHROOZ BASSIM — OIG Excluded Provider (POTSDAM, NY, 1128b4)
BEHROOZ BASSIM — OIG Excluded Provider (POTSDAM, NY, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: BEHROOZ BASSIM; Type: Individual; Provider category: MEDICAL PRACTICE, MD.
| Name | BEHROOZ BASSIM |
|---|---|
| Type | Individual |
| Provider category | MEDICAL PRACTICE, MD |
| Specialty | GENERAL PRACTICE/FP |
| City | POTSDAM |
| State | NY |
| ZIP | 13676 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 1991-06-06 |
| Source | HHS-OIG LEIE |
$1499/mo
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