Individual
MANOOCHER MOFIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01037544A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25630
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200189820A
—
IN
Enumeration date
07/16/2006
Last updated
02/13/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us