Individual
GASTON DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE B101, LEXINGTON, KY 40536-8947
(859) 323-5661
(859) 323-6411
Mailing address
250 N SHADELAND AVE STE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01063806A
IN
2084N0400X
Neurology Physician
036146545
IL
2084N0400X
Neurology Physician
11010836A
IN
2084N0400X
Neurology Physician
MD463417
PA
2084N0600X
Clinical Neurophysiology Physician
Primary
59121
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860440
—
IN
01
—
P00787953
RAILROAD MEDICARE PTAN
IN
Enumeration date
05/11/2007
Last updated
11/06/2025
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