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Next Update: Thursday, December 19, 2024 2:50 AM CST
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DA COSTA, GASTON
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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: |
LOCUM TENENS
13074 ABERDEEN BEND
CARMEL IN 46032
Address last updated on 12/3/2020 |
| Phone #: |
(317) 332-2361 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
34912 |
| Dated: |
1/2/2020 |
| Expires: |
1/1/2022 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ De Buenos Aires, Fac De Cien Med, Buenos Aires, Argentina |
| Graduated: |
7 /
1992 |
| CME Year: |
2023 |
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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: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology w/ Child Neurology) - Clinical Neurophysiology |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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