| | Physician Last Name: | Djaparidze |
| | Physician First Name: | Goulbat |
| | Physician Middle Name: | |
| | Address: | 1410 Avenue F
Apartment 4B
Brooklyn, New York 11218 |
| | License Number: | 12470 |
| | License Type: | MD |
| | Year of Birth: |
1960
|
| | Effective Date: | 05/09/2007 |
| | Action Description for DOH Webpage: | Probation for seven years and the physician may not engage in the independent practice of medicine until he completes a residency-training program. |
| | Misconduct Description for DOH Webpage: | The physician admitted guilt to the charges of practicing while impaired;being a habitual user of drugs and practicing fraudulently.Previously on November 17, 2004 an order modified some terms of the January 14, 2003 order #BPMC 03-13. |
| | License Restrictions for DOH Webpage: | The physician may not engage in the independent practice of medicine until he completes a residency-training program. During the period of probation the physician may not practice medicine unless he is personally monitored by health care professionals and his practice is being supervised by a licensed physician |
| | Board Order: |
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