Aidar Rauisovich Gosmanov, M.D., PH.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

46307 Issued in TN

Practice address

1407 Union Ave
Suite 200
Memphis, TN 38104-3627

Phone

(901) 866-8813

Fax

(901) 302-2120

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1316160872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE",
            "address_2": "SUITE 640",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043627",
            "telephone_number": "901-866-8360",
            "fax_number": "901-302-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE",
            "address_2": "SUITE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043627",
            "telephone_number": "901-866-8813",
            "fax_number": "901-302-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSMANOV",
        "first_name": "AIDAR",
        "middle_name": "RAUISOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "46307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryland Joy Gore, MD
• Marshall Goren, M.D.
• Vamsi Krishna Gorijala
• Kenneth Mark Gorman Jr., MD
• Goshen Hospice and Palliative Care
• Dorothy'E Gott, PH.D.
• Stephen Gottschalk, MD
• Hunter Christian Gough, CRNA
• Amanda Gould, PH.D
• Herbert Jay Gould, PH.D.

• Endocrinology, Diabetes & Metabolism Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Endocrinology, Diabetes & Metabolism Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.