Provider Demographics
NPI:1326030131
Name:COSBY, DONNA RAYE (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:RAYE
Last Name:COSBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-376-1800
Mailing Address - Fax:405-376-1856
Practice Address - Street 1:2929 S MUSTANG RD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-9585
Practice Address - Country:US
Practice Address - Phone:405-376-1800
Practice Address - Fax:405-376-1856
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK15742208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics