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Contact Information

MANOOCHEHR MAZLOOMDOOST, MD
715 SHAKER DR
STE 101 PAIN MANAGEMENT MEDICINE
LEXINGTON, KY40504
 Phone: 859-275-4878
 Fax: 859-276-5400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MANOOCHEHR MAZLOOMDOOST · (Male)

NPI Number 1740252188
Status Active
Credentials MD
Entity Individual
Enumeration date 02/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 17083
  • KY Medicaid 64170830
  • KY Other 000000069094 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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