NPI 1013934959

Manoocher Mofidi, MD

Practitioner Child & Adolescent Psychiatry Physician Louisville, KY

Practice location

Address: 2225 W Broadway, Louisville, KY 40211-1003
Phone: (502) 589-8600
Fax: (502) 589-8771
Mailing address: 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423

Registered specialties (2)

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 25630 (KY)

Other Psychiatry & Neurology providers in Kentucky →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 01037544A (IN)

Registry record

NPI: 1013934959
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2006
Record last updated: 13 Feb 2013

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.