Provider Demographics
NPI:1366595035
Name:GOSMANOVA, ALBINA K (MD)
Entity type:Individual
Prefix:DR
First Name:ALBINA
Middle Name:K
Last Name:GOSMANOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1304 NW 170TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-7410
Mailing Address - Country:US
Mailing Address - Phone:405-216-9230
Mailing Address - Fax:405-271-7522
Practice Address - Street 1:1000 N LINCOLN BLVD
Practice Address - Street 2:SUITE 1000
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-3252
Practice Address - Country:US
Practice Address - Phone:405-271-1000
Practice Address - Fax:405-271-1002
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23936207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism