Import Eligibility Patient Detail

MOUNIS KHAKIMOV

CIN: UW77138Z

Active
Date of Birth: May 23, 1973
Gender: Male
Created: July 26, 2026
Address: 155 BEACH 19 STREET 15A , FAR ROCKAWAY, NY 11691
Last Updated: July 26, 2026 10:06 AM

Latest Eligibility Snapshot

Date of Service: July 26, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: MA Eligible
MCO:
Recertification: No
NHTD: No
Code 60: No
Surplus: Yes

Eligibility History

Date of Service Status Recert NHTD Code 60 Surplus Import 271
July 26, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View