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MOHAMED IBRAHIM BADR — OIG Excluded Provider (ESCONDIDO, CA, 1128b4)

MOHAMED IBRAHIM BADR — OIG Excluded Provider (ESCONDIDO, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MOHAMED IBRAHIM BADR; Type: Individual; Provider category: PHYSICIAN (MD, DO).

NameMOHAMED IBRAHIM BADR
TypeIndividual
Provider categoryPHYSICIAN (MD, DO)
SpecialtyFAMILY PRACTICE
NPI1053334524
CityESCONDIDO
StateCA
ZIP92029
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2015-04-20
SourceHHS-OIG LEIE

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