Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

GOSMANOV, NIYAZ RAUYSOVICH       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: OKLAHOMA CITY VA MED CENTER
921 NE 13TH STR
ATTN:111C
OKLAHOMA CITY OK 73104

Address last updated on 4/3/2024
Phone #: (405) 456-3368
Fax #: (405) 456-5934
County: OKLAHOMA
License: 23935
Dated: 6/29/2004
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Endocrinology, Diabetes and Metabolism
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Kazan State Med Univ, Kazan, Russia
Graduated: 6 / 1994
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: ABPS - Internal Medicine
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Endocrinology, Diabetes and Metabolism
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
OKLAHOMA CITY VA MED CENTER
921 NE 13TH STR
ATTN:111C
OKLAHOMA CITY OK 73104

Phone #: (405) 456-3368
Fax #: (405) 456-5934
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BILBY KURIEN APRN 79629

Return to Search Licensees page