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
Phone: (502) 394-6460
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285827725 | NPPES |
Kentucky | MEDICAID | 7100490440 | |
Kentucky | Other | K250170 |
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