Provider Demographics
NPI:1659390284
Name:CALENZANI, DAVID GERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GERMAN
Last Name:CALENZANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4200 W MEMORIAL RD STE 804
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8305
Mailing Address - Country:US
Mailing Address - Phone:405-751-2600
Mailing Address - Fax:405-751-2600
Practice Address - Street 1:4200 W MEMORIAL RD STE 804
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8305
Practice Address - Country:US
Practice Address - Phone:405-751-2600
Practice Address - Fax:405-751-5475
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK148172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKC94745Medicare ID - Type UnspecifiedPSYCHIATRIST