MANOOCHEHR MAZLOOMDOOST PSC NPI 1770555492

NPI Information

  • NPI: 1770555492
  • Provider Name: MANOOCHEHR MAZLOOMDOOST PSC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Former Legal Business Name: PAIN MANAGEMENT MEDICINE
  • Address: 101 N EAGLE CREEK DR # 120
    LEXINGTON, KY
    ZIP 40509
  • Phone: (859) 275-4878

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NPI Details

MANOOCHEHR MAZLOOMDOOST PSC is a pain medicine anesthesiology in Lexington, KY. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. MANOOCHEHR MAZLOOMDOOST PSC NPI is 1770555492. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Pain Management Medicine.

The provider's business location address is:

101 N EAGLE CREEK DR # 120
LEXINGTON, KY
ZIP 40509-806
Phone: (859) 275-4878
Fax: (859) 276-5400

The provider's authorized official is Danesh Mazloomdoost .
The authorized official title is Medical Director 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 7/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2207LP2900XAnesthesiologyPain MedicineYes
32084P2900XPsychiatry & NeurologyPain MedicineNo
4225100000XPhysical TherapistNo
5363A00000XPhysician AssistantNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
165941387MEDICAIDKENTUCKY

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: 11/21/2025

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