Mazloomdoost, Manoochehr

Mazloomdoost, Manoochehr is an individual health care provider with primary practice located at 715 Shaker Dr Ste 101 Pain Management Medicine, Lexington KY 40504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mazloomdoost, Manoochehr 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 17083 Kentucky

Profile Details

NPI number 1740252188
LBN Legal business name Mazloomdoost, Manoochehr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740252188 NPPES
Kentucky MEDICAID 64170830
Kentucky Other 000000069094

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