NPI 1063711018
Manoochehr Mazloomdoost Psc
Practice location
- Address
- 715 Shaker Dr Suite 132, Lexington, KY 40504-3662
- Phone
- (859) 275-4878
- Fax
- (859) 276-5400
Authorised official
- Name
- Danesh Mazloomdoost
- Title
- President
- Phone
- (859) 275-4878
Registered specialties (2)
Pain Medicine Physician
Primary
Psychiatry Physician
Registry record
- NPI
- 1063711018
- Entity type
- Organization
- NPI issued
- 16 Mar 2011
- Record last updated
- 16 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.