Individual
DR. MOHAMAD ISTANBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 967-5000
(606) 330-3100
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(606) 330-3404
(606) 330-3100
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
41634
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100063770
—
KY
Enumeration date
04/01/2008
Last updated
10/19/2009
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