Individual
ULVIYYA GASIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(857) 234-4639
Mailing address
343 MOUNT SUPPORT RD UNIT 355, LEBANON, NH 03766-2853
(857) 234-4639
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MED-PHYS-LIC-144230
MT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
07/25/2025
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