Healthcare Provider Details

I. General information

NPI: 1346829736
Provider Name (Legal Business Name): CECILIA HELENE ROSENBAUM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NE 10TH ST STE 3C
OKLAHOMA CITY OK
73104-5417
US

IV. Provider business mailing address

800 STANTON L YOUNG BLVD
OKLAHOMA CITY OK
73104-5018
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-9494
  • Fax: 405-271-3727
Mailing address:
  • Phone: 405-271-8469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number45232
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: