Individual
HAMID R MOHAMMADZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HARRODSBURG RD, SUITE B-275, LEXINGTON, KY 40504-3751
(859) 278-2334
(859) 278-0159
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
24545
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
28889
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G83813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64288897
—
KY
Enumeration date
11/28/2005
Last updated
06/30/2019
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