Organization
MANOOCHEHR MAZLOOMDOOST PSC
Active
Other names
Pain Management Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANESH MAZLOOMDOOST M.D. (PRESIDENT)
(859) 275-4878
Entity
Organization
Contact information
Practice address
715 SHAKER DR, SUITE 132, LEXINGTON, KY 40504-3662
(859) 275-4878
(859) 276-5400
Mailing address
715 SHAKER DR, SUITE 132, LEXINGTON, KY 40504-3662
(859) 275-4878
(859) 276-5400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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