MEDICARE: ALBERTO J DE ARMENDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	30002	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750384947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO J DE ARMENDI MD

Provider Business Mailing Address
First Line	:	OU MEDICAL CENTER-750 NE 13TH
Second Line	:	SUITE 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104
Country	:	US
Telephone Number	:	405-271-4351
Fax Number	:	405-271-4015

Provider Business Practice Location Address
First Line	:	750 NE 13TH ST
Second Line	:	SUITE 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5010
Country	:	US
Telephone Number	:	405-271-4351
Fax Number	:	405-271-4015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/08/2011

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