Healthcare Provider Details

I. General information

NPI: 1710814793
Provider Name (Legal Business Name): BESTE GULSUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NE 10TH ST # 4G
OKLAHOMA CITY OK
73104-5417
US

IV. Provider business mailing address

600 NW 29TH ST APT 18
OKLAHOMA CITY OK
73103-1030
US

V. Phone/Fax

Practice location:
  • Phone: 572-244-0074
  • Fax:
Mailing address:
  • Phone: 415-549-6372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number47835
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: