Mazloomdoost, Camellia

Mazloomdoost, Camellia is an individual health care provider with primary practice located at 101 N Eagle Creek Dr , Lexington KY 40509-1806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mazloomdoost, Camellia can be contacted via phone (859) 275-4878.

Contact Information

Primary practice address
101 N Eagle Creek Dr Lexington KY 40509-1806
Phone: (859) 275-4878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25685 Kentucky

Profile Details

NPI number 1952372419
LBN Legal business name Mazloomdoost, Camellia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jun 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952372419 NPPES
Kentucky Other 000000049975 BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 64256852 BLUE CROSS BLUE SHIELD

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