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IKEDA, MARCOS HIROSHI
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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.
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Practice Address: |
BELLISSIMA WOMENS CLINIC
415 W. LITTLE YORK RD
STE C
HOUSTON TX 77076
Address last updated on 1/2/2018 |
Phone #: |
(713) 692-0600 |
Fax #: |
(713) 699-9352 |
County: |
NOT OKLAHOMA |
License: |
30343 |
Dated: |
1/16/2014 |
Expires: |
1/1/2018 |
Temp.
Lic.
Issued:
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11/15/2013 |
Temp.
Lic.
Expires:
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1/16/2014 |
License Type: |
Medical Doctor |
Specialty: |
Obstetrics & Gynecology
Cosmetic Surgery |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
UNIV DE SAO PAULO, FAC DE MED, SAO PAULO, SP, BRAZIL |
Graduated: |
11 /
2005 |
CME Year: |
2020 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
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New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
CIGNA HMO
CIGNA PPO
Humana Medicare Advantage PPO
Texas Medicaid |
Hospital Privileges: |
Hospital Not Listed
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Hospital(s) Not In Oklahoma
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