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CARBAJAL, SCOTT ANDREW       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: OPTIMAL IMX
2850 19TH STREET SOUTH #350
BIRMINGHAM AL 35209

Address last updated on 1/28/2014
Phone #: (205) 802-7725
Fax #:
County: NOT OKLAHOMA
License: 28206
Dated: 2/1/2011
Expires: 2/1/2015
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: 5 / 1997
CME Year: 2017
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OPTIMAL IMX
2850 19TH STREET SOUTH #350
BIRMINGHAM AL 35209

Phone #: (205) 802-7725
Fax #:

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