Individual
ERIC SCOTT MOGHADAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, K401, LEXINGTON, KY 40536-0001
(859) 323-5533
(859) 323-2412
Mailing address
740 S LIMESTONE, K401, LEXINGTON, KY 40536-0001
(859) 323-5533
(859) 323-2412
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
42031
KY
207XX0801X
Orthopaedic Trauma Physician
Primary
42031
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100058370
—
KY
Enumeration date
08/21/2006
Last updated
06/11/2014
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