Provider Demographics
NPI:1790820231
Name:GADELIYA, ALBINA (MD)
Entity Type:Individual
Prefix:
First Name:ALBINA
Middle Name:
Last Name:GADELIYA
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 1:3910 S CAREFREE CIR
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-3010
Mailing Address - Country:US
Mailing Address - Phone:719-574-4780
Mailing Address - Fax:719-574-8405
Practice Address - Street 1:17230 JACKSON CREEK PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-7306
Practice Address - Country:US
Practice Address - Phone:719-571-7000
Practice Address - Fax:719-571-7059
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine