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Individual

DR. JALIL SHOJAEI-MOGHADDAM

Active
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Individual

DR. JALIL SHOJAEI-MOGHADDAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
36234
KY
2084N0400X
Neurology Physician
Primary
36234
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
36234
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64941289
KY
Enumeration date
05/26/2006
Last updated
07/21/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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