Individual
MEHDI KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF KENTUCKY, 740 SOUTH LIMESTONE STREET, L543 KENTUCKY CLINIC, LEXINGTON, KY 40536-0284
(859) 323-5045
(859) 257-2418
Mailing address
UNIVERSITY OF KENTUCKY, 740 SOUTH LIMESTONE STREET, L543 KENTUCKY CLINIC, LEXINGTON, KY 40536-0284
(859) 323-5045
(859) 257-2418
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
40372
KY
207RP1001X
Pulmonary Disease Physician
Primary
40372
KY
Other
Enumeration date
04/06/2006
Last updated
12/14/2012
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