Individual
MOHSEN BAHMANI KASHKOULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1511
(502) 588-0550
Mailing address
301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1511
(502) 588-0550
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
FL070
KY
Other
Enumeration date
06/22/2023
Last updated
08/15/2023
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