Provider Demographics
NPI:1174576490
Name:GOKSEL, MUSABERK (MD)
Entity type:Individual
Prefix:DR
First Name:MUSABERK
Middle Name:
Last Name:GOKSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 HOSPITAL PL
Mailing Address - Street 2:ATTN: YVETTE TAPPANA CREDENTIALING
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7559
Mailing Address - Country:US
Mailing Address - Phone:907-714-4529
Mailing Address - Fax:907-714-4696
Practice Address - Street 1:240 HOSPITAL PL
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7559
Practice Address - Country:US
Practice Address - Phone:907-714-4529
Practice Address - Fax:907-714-4916
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKMEDS7566207RH0003X
IN01062215207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1670213Medicaid
453220JJMedicare PIN
I25338Medicare UPIN
IN262490AMedicare PIN