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Gaston Da Costa, MD
Clinical Neurophysiology Physician in Lexington, Kentucky
NPI 1902011158

Gaston Da Costa is a Clinical Neurophysiology Physician based in Indianapolis, KY and is specialized in Clinical Neurophysiology. Gaston Da Costa practices in Lexington, KY and has the professional credentials of MD. The NPI Number for Gaston Da Costa is 1902011158 and holds a License No. 11010836A (Kentucky).

The current practice location address for Gaston Da Costa is 740 S Limestone Ste B101, Lexington, KY and can be reached out via phone at 859-323-5661 and via fax at 859-323-6411.

Location: 740 S Limestone Ste B101, Lexington, KY, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902011158
Provider Name
Gaston Da Costa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
740 S Limestone Ste B101, Lexington, KY, 46219-4959
Phone Number
859-323-5661
Fax Number
859-323-6411
Provider Enumeration Date
05/11/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00787953 01 IN RAILROAD MEDICARE PTAN
200860440 05 IN
institution
Provider Business Practice Location Address Details
Address
740 S Limestone Ste B101
City
Lexington
State
Kentucky
Zip
40536-8947
Phone Number
859-323-5661
Fax Number
859-323-6411
person
Provider Business Mailing Address Details
Address
740 S Limestone Ste B101
City
Lexington
State
Kentucky
Zip
40536-8947
Phone Number
859-323-5661
Fax Number
859-323-6411
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
01063806A (Indiana)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
11010836A (Indiana)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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