Individual
MRS. CAMELLIA MAZLOOMDOOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 N EAGLE CREEK DR, LEXINGTON, KY 40509-1806
(859) 275-4878
Mailing address
101 N EAGLE CREEK DR, LEXINGTON, KY 40509-1806
(859) 275-4878
(859) 276-5400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25685
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049975
BLUE CROSS BLUE SHIELD
KY
05
—
64256852
—
KY
Enumeration date
01/31/2006
Last updated
06/04/2025
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