Individual
DR. NIYAZ GOSMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 NE 13TH ST, ATTN:111C, OKLAHOMA CITY, OK 73104-5007
(405) 297-5903
(405) 297-5934
Mailing address
1304 NW 170TH ST, EDMOND, OK 73012-7410
(405) 297-5903
(405) 297-5934
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
23935
OK
Other
Enumeration date
10/24/2006
Last updated
04/18/2008
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