Mazloomdoost, Camellia
Mazloomdoost, Camellia is an individual health care provider with primary practice located at 715 Shaker Dr Ste 101 Pain Management Medicine, Lexington KY 40504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mazloomdoost, Camellia can be contacted via phone (859) 275-4878.Contact Information
Primary practice address
715 Shaker Dr Ste 101 Pain Management Medicine
Lexington KY 40504
Phone: (859) 275-4878
Fax: (859) 276-5400
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25685 | Kentucky |
Profile Details
NPI number | 1952372419 |
---|---|
LBN Legal business name | Mazloomdoost, Camellia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1952372419 | NPPES |
Kentucky | MEDICAID | 64256852 | |
Kentucky | Other | 000000049975 |
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