Individual
NEVINSON PRADEEP SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10001 S WESTERN AVE STE 101, OKLAHOMA CITY, OK 73139-2993
(405) 286-2725
(405) 286-2724
Mailing address
10001 S WESTERN AVE STE 101, OKLAHOMA CITY, OK 73139-2993
(405) 286-2725
(405) 286-2724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
6588
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
6588
OK
Other
Enumeration date
06/19/2014
Last updated
01/06/2026
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