Pain Management Medicine

NPI #1124578703 in Lexington, Kentucky

Provider Information

NPI Number
1124578703
Entity Type
Organization
Organization Name
Pain Management Medicine
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Oct 7, 2016
Last Updated
Oct 7, 2016

Practice Location

Address
715 SHAKER DR
Address 2
SUITE 132
ZIP Code
40504-3662
Phone
(859) 275-4878

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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