Manoochehr Mazloomdoost Psc

NPI #1063711018 in Lexington, Kentucky

Provider Information

NPI Number: 1063711018
Entity Type: Organization
Organization Name: Manoochehr Mazloomdoost Psc
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Mar 16, 2011
Last Updated: Mar 16, 2011

Practice Location

Address: 715 SHAKER DR
Address 2: SUITE 132
City: Lexington
State: Kentucky
ZIP Code: 40504-3662
Phone: (859) 275-4878

Authorized Official

Name: DR. DANESH MAZLOOMDOOST, M.D.
Title: PRESIDENT
Phone: (859) 275-4878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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