DR. PANKAJ D. SHETH


Address: 5700 Arnold St, 72amds/sgpo, Tinker Afb, Midwest City, OK 73145-8105
Phone: 4057343421

DR. PANKAJ D. SHETH (NPI# 1831188432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831188432
Entity Type Individual
Full Name DR. PANKAJ D. SHETH
Credential MD.MPH
Practice Address 5700 Arnold St
72amds/sgpo, Tinker Afb
Midwest City
OK 73145-8105
Mailing Address 18708 Saddle River Dr
Edmond
OK 73003-4106
Practice Telephone 4057343421
Practice Fax Number 4057343424
Mailing Telephone 4053306969
Mailing Fax Number 4053306969
Enumeration Date 2005-10-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204C00000X Neuromusculoskeletal Medicine, Sports Medicine 14541 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 5700 ARNOLD ST
72AMDS/SGPO, TINKER AFB
City MIDWEST CITY
State OK
Zip Code 73145-8105

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NPI Name Taxonomy Address Enumeration
1922630946 The Janz Corporation Durable Medical Equipment & Medical Supplies Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 2020-02-07
1578863437 Stephanie Brushett Audiologist 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 2010-10-26
1972530053 Mark Robert Bacon Physician Assistant 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 2006-06-26
1417945346 Heather Renee' Ranger Kobel Psychologist 590 Mitchell Blvd, Tinker Afb, OK 73145 2005-10-13
1003332404 Davis Brigman Psychologist 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 2017-08-17
1801321393 Carolyne Bangurah Registered Nurse 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 2017-04-21
1598148850 Adrianna Harrell Social Worker 7050 Air Depot Blvd, Tinker Afb, OK 73145 2015-07-06
1558748491 Caitlin Clare Stevens General Practice 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 2015-04-29
1699015032 Alan Robert Miner General Practice 7050 Air Depot Blvd, Oklahoma City, OK 73145 2013-02-21
1033498571 Sarah Katherine Turbush Dentist 72d Medical Group, Tinker Afb, OK 73145 2011-08-16
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Taxonomy Information

Taxonomy Code 204C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295868982 Accident Medical Incorporated, Pllc Neuromusculoskeletal Medicine, Sports Medicine 6825 S Western Ave, Oklahoma City, OK 73139-1801 2007-03-13
1548239494 Neuroscience Specialists PC Neuromusculoskeletal Medicine, Sports Medicine 4120 W Memorial Rd, Suite 300, Oklahoma City, OK 73120-9322 2006-03-14

Competitor

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City MIDWEST CITY
Zip Code 73145

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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