MOUSTAFA MOATAZ ABOSHADY — OIG Excluded Provider (LOMPOC, CA, 1128a1)
MOUSTAFA MOATAZ ABOSHADY — OIG Excluded Provider (LOMPOC, CA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MOUSTAFA MOATAZ ABOSHADY; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | MOUSTAFA MOATAZ ABOSHADY |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | INTERNAL MEDICINE |
| NPI | 1003127655 |
| City | LOMPOC |
| State | CA |
| ZIP | 93436 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2019-09-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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