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MANOOCHEHR MAZLOOMDOOST MD PSC NPI 1770555492


NPI Information

NPI: 1770555492
Provider Name: MANOOCHEHR MAZLOOMDOOST MD PSC

Doing Business As: PAIN MANAGEMENT MEDICINE

Classification: Psychiatry & Neurology - 2084P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
715 SHAKER DR
STE 101 PAIN MANAGEMENT MEDICINE
LEXINGTON, KY
ZIP 40504
Phone: (859) 275-4878
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MANOOCHEHR MAZLOOMDOOST MD PSC is a pain medicine psychiatry neurology in Lexington, KY. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. MANOOCHEHR MAZLOOMDOOST MD PSC NPI is 1770555492. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pain Management Medicine.

The provider's business location address is:

715 SHAKER DR
STE 101 PAIN MANAGEMENT MEDICINE
LEXINGTON, KY
ZIP 40504
Phone: (859) 275-4878
Fax: (859) 276-5400

The provider's authorized official is Manoochehr Mazloomdoost .
The authorized official title is Owner President and has the following contact phone number (859) 275-4878.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 3/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P2900XPsychiatry & NeurologyPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165941387MEDICAIDKENTUCKY
25472MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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