Individual
MAZHAR RASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 SOMERSLY PL, LEXINGTON, KY 40515-5718
(859) 552-1757
(859) 552-1757
Mailing address
204 SOMERSLY PL, LEXINGTON, KY 40515-5718
(859) 552-1757
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-082552
OH
207L00000X
Anesthesiology Physician
37590
KY
208VP0000X
Pain Medicine Physician
35-082552
OH
208VP0000X
Pain Medicine Physician
Primary
37590
KY
208VP0014X
Interventional Pain Medicine Physician
37590
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000304991
ANTHEM
KY
05
—
2475802
—
OH
05
—
64067176
—
KY
01
—
P00013479
RR MEDICARE
KY
Enumeration date
08/29/2006
Last updated
10/16/2018
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