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Organization
MANOOCHEHR MAZLOOMDOOST PSC
Active
Organization
MANOOCHEHR MAZLOOMDOOST PSC
Active
Other names
Pain Management Medicine, Wellward Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANESH MAZLOOMDOOST MD (MEDICAL DIRECTOR)
(859) 275-4878
Entity
Organization
Contact information
Practice address
101 N EAGLE CREEK DR # 120, LEXINGTON, KY 40509-1806
(859) 275-4878
(859) 276-5400
Mailing address
101 N EAGLE CREEK DR # 120, LEXINGTON, KY 40509-1806
(859) 275-4878
(859) 276-5400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
NULL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/06/2006
Last updated
07/08/2026
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