MARIYA GRIGOR BAGDASARYAN — OIG Excluded Provider (COLEMAN, FL, 1128a1)
MARIYA GRIGOR BAGDASARYAN — OIG Excluded Provider (COLEMAN, FL, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARIYA GRIGOR BAGDASARYAN; Type: Individual; Provider category: BUS OWNER/EXEC.
| Name | MARIYA GRIGOR BAGDASARYAN |
|---|---|
| Type | Individual |
| Provider category | BUS OWNER/EXEC |
| Specialty | DME - GENERAL |
| City | COLEMAN |
| State | FL |
| ZIP | 33521 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2012-04-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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