Mazloomdoost, Camellia

Mazloomdoost, Camellia is an individual health care provider with primary practice located at 715 Shaker Dr Ste 101 Pain Management Medicine, Lexington KY 40504. 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
715 Shaker Dr Ste 101 Pain Management Medicine Lexington KY 40504
Phone: (859) 275-4878
Fax: (859) 276-5400
Website:
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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 Jul 8th, 2007 - about 19 years ago

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 MEDICAID 64256852
Kentucky Other 000000049975

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