Provider Demographics
NPI:1972486264
Name:PEREZ MALAGON, CARLOS DAVID (MD)
Entity type:Individual
Prefix:
First Name:CARLOS DAVID
Middle Name:
Last Name:PEREZ MALAGON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1033 NE 4TH ST # F-210
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-2423
Mailing Address - Country:US
Mailing Address - Phone:405-616-0548
Mailing Address - Fax:
Practice Address - Street 1:920 STANTON L YOUNG BLVD # 2040
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5036
Practice Address - Country:US
Practice Address - Phone:920-204-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK456402084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology