# SHETH PAIN CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669535787
- **Authorized official:** MELENIE NACHIMSON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (405) 775-9350

## Contact information

- **Practice address:** 4200 W MEMORIAL RD, 305, OKLAHOMA CITY, OK 73120-9350
- **Practice address phone:** (405) 841-7899
- **Practice address fax:** (405) 775-9360
- **Mailing address:** PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
- **Mailing address phone:** (405) 775-9350
- **Mailing address fax:** (405) 775-9360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 14599 | OK | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 05/19/2011