Provider Demographics
NPI:1013026079
Name:COM, GULNUR (MD)
Entity Type:Individual
Prefix:
First Name:GULNUR
Middle Name:
Last Name:COM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 TRINITY DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-5708
Mailing Address - Country:US
Mailing Address - Phone:850-416-1110
Mailing Address - Fax:850-416-1192
Practice Address - Street 1:1675 TRINITY DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-5708
Practice Address - Country:US
Practice Address - Phone:850-416-1110
Practice Address - Fax:850-416-1192
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL262122080P0214X
ARE-52392080P0214X
CAC1317822080P0214X
FLME1304942080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009964465Medicaid
AR165227001Medicaid
AL00994835Medicaid
AR5AA55Medicare PIN
AL00994835Medicaid
AR165227001Medicaid