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Federal investigators claim his Norwalk health clinic was a pill mill and his Medicaid billing a $5 million fraud.

On March 18, both claims landed Dr. Ramil Mansourov, 49, of Tokeneke Road, Darien, seven years and three months in federal prison followed by three years of supervised release.

Senior U.S. District Judge Janet Bond Arterton ordered Mansourov to repay $4,994,027 in restitution and forfeit $50,000 to the federal government.

Mansourov pleaded guilty in September to health care fraud and money laundering.

Assistant U.S. Attorney Rahul Kale called Mansourov “a convicted fraudster and consummate liar” in his sentencing memorandum.

Mansourov blamed some of his problems on a downward spiral from a divorce, his mother’s suicide and broken relationships.

“Using little more than a code and a computer, the defendant and former medical practitioner defrauded Connecticut’s Medicaid program of over $4,000,000 in a short two-year span, charging Medicaid for examinations at home, at his office and at nursing homes that never occurred,” Kale wrote.

The prosecutor said Mansourov spent at least $200,000 on girlfriends.

Mansourov billed Medicaid more than $40,000 for 235 home visits to one patient who claims he only saw the doctor once or twice; the prosecutor claimed Mansourov billed for 450 nursing home visits for a patient he saw once or twice and for which Medicaid paid out more than $58,000.

The doctor also billed for 600 visits he claimed a family of six made to his clinic and received more than $100,000. Family members told Kale they made no more than 10 visits to the clinic.

Three years ago, Mansourov was the subject of an undercover federal probe and then an international search when he fled the country to avoid arrest. He was captured by Canadian authorities in Montreal.

Mansourov owned Family Health Urgent Care, 235 Main St., Norwalk, which he purchased in 2012 from Dr. Bharat Patel of Milford. Patel continued to work for Mansourov. Addicts allegedly described the clinic to federal agents as “The Candy Shop,” court documents charge.

The pair was indicted as part of a nationwide probe into the over-prescription of narcotic pain-killers and health care fraud which charged 115 doctors, nurses and medical professionals and involved $1.3 billion in false billings.