Pain Management Medicine
LBN: Manoochehr Mazloomdoost Psc
Pain Management Medicine is an health care organization with primary practice located at 101 N Eagle Creek Dr # 120 , Lexington KY 40509-1806. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Manoochehr Mazloomdoost Psc can be contacted via phone (859) 275-4878, or through Mazloomdoost, Danesh via phone (859) 275-4878.
Contact Information
Primary practice address
101 N Eagle Creek Dr # 120
Lexington KY 40509-1806
Phone: (859) 275-4878
Fax: (859) 276-5400
Website:
Authorized official contact:
Name: Mazloomdoost, Danesh Doctor of Medicine (MD)
Phone: (859) 275-4878
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1770555492 |
|---|---|
| LBN Legal business name | Manoochehr Mazloomdoost Psc |
| DBA Doing business as | Pain Management Medicine |
| Authorized official | Mazloomdoost, Danesh Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 18th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770555492 | NPPES |
| Kentucky | MEDICAID | 65941387 |
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