Individual
BAHRAM T MOSHIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4033 CASTLEBRIDGE LN, LEXINGTON, KY 40509-4529
(859) 523-0210
Mailing address
4033 CASTLEBRIDGE LN, LEXINGTON, KY 40509-4529
(859) 523-0210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26284
KY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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