Provider Demographics
NPI:1477356061
Name:MASALIMOVA, GULNAZ (MD)
Entity type:Individual
Prefix:
First Name:GULNAZ
Middle Name:
Last Name:MASALIMOVA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:GULNAZ
Other - Middle Name:KHATIBULLAEVNA
Other - Last Name:MASALIMOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:21 JANET DR APT B
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2206
Mailing Address - Country:US
Mailing Address - Phone:845-240-5030
Mailing Address - Fax:
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7697
Practice Address - Country:US
Practice Address - Phone:845-240-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program