Moghadamfalahi, Mana
Moghadamfalahi, Mana is an individual health care provider with primary practice located at 1850 State St , New Albany IN 47150-4990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Moghadamfalahi, Mana can be contacted via phone (812) 948-4325.Contact Information
Primary practice address
1850 State St
New Albany IN 47150-4990
Phone: (812) 948-4325
Fax: (502) 456-4440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01073646A | Indiana |
Profile Details
| NPI number | 1689884876 |
|---|---|
| LBN Legal business name | Moghadamfalahi, Mana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | May 5th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689884876 | NPPES |
| Kentucky | Other | 000000875489 | ANTHEM |
| Kentucky | MEDICAID | 201153720A | ANTHEM |
| Kentucky | Other | 50083645 | ANTHEM |
| Kentucky | MEDICAID | 7100240630 | ANTHEM |
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