Individual
ELVIRA GOSMANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208
(518) 626-6404
Mailing address
300 FOUNTAIN CREST DR, MEMPHIS, TN 38120-1861
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
061436
GA
Other
Enumeration date
04/26/2007
Last updated
07/19/2019
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