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Individual

AHMAD MICHAEL MORSHEDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2020 BASHFORD MANOR LANE, LOUISVILLE, KY 40218
(502) 716-2020
(502) 451-6884
Mailing address
2020 BASHFORD MANOR LN, LOUISVILLE, KY 40218-2114
(502) 716-2020
(502) 451-6884

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY2047DT
KY
152W00000X
Optometrist
TA2226
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679016893
KY
Enumeration date
09/20/2011
Last updated
12/17/2018
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