Organization
SHETH PAIN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELENIE NACHIMSON (CREDENTIALING SPECIALIST)
(405) 775-9350
Entity
Organization
Contact information
Practice address
4200 W MEMORIAL RD, 305, OKLAHOMA CITY, OK 73120-9350
(405) 841-7899
(405) 775-9360
Mailing address
PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
14599
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103130A
—
OK
01
—
612084900
DOL
OK
01
—
DG2424
MEDICARE RR
OK
Enumeration date
12/19/2006
Last updated
05/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us