Provider Demographics
NPI:1750384947
Name:DE ARMENDI, ALBERTO J (MD)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:J
Last Name:DE ARMENDI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:OU MEDICAL CENTER-750 NE 13TH
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104
Mailing Address - Country:US
Mailing Address - Phone:405-271-4351
Mailing Address - Fax:405-271-4015
Practice Address - Street 1:750 NE 13TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5010
Practice Address - Country:US
Practice Address - Phone:405-271-4351
Practice Address - Fax:405-271-4015
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2011-08-08
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Provider Licenses
StateLicense IDTaxonomies
TN30002207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3828788Medicaid
TN3828788Medicare ID - Type UnspecifiedMEDICARE
TN3828788Medicaid