Manoochehr Mazloomdoost P S C

NPI #1720110182 in Corbin, Kentucky

Provider Information

NPI Number: 1720110182
Entity Type: Organization
Organization Name: Manoochehr Mazloomdoost P S C
Primary Specialty: Anesthesiology - Pain Medicine
Enumeration Date: Mar 12, 2007
Last Updated: Aug 17, 2022

Practice Location

Address: 1100 CUMBERLAND FALLS HWY
City: Corbin
State: Kentucky
ZIP Code: 40701-2715
Phone: (859) 275-4878

Authorized Official

Name: DR. DANESH MAZLOOMDOOST, MD
Title: MEDICAL DIRECTOR
Phone: (859) 275-4878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Specialist	174400000X
Psychiatry & Neurology - Pain Medicine — Pain Medicine	2084P2900X
Physician Assistant	363A00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X	Primary

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