Ghiassi, Mahan

Ghiassi, Mahan is an individual health care provider with primary practice located at 4950 Norton Healthcare Blvd Ste 305 , Louisville KY 40241-2849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Ghiassi, Mahan can be contacted via phone (502) 394-6460.

Contact Information

Primary practice address
4950 Norton Healthcare Blvd Ste 305 Louisville KY 40241-2849
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X E-8572 Arkansas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 49962 Kentucky

Profile Details

NPI number 1285827725
LBN Legal business name Ghiassi, Mahan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2007
Last updated Jan 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285827725 NPPES
Kentucky MEDICAID 7100490440
Kentucky Other K250170

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