| NPI | 1063711018 |
|---|---|
| Doing Business As | PAIN MANAGEMENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANESH MAZLOOMDOOST President 859-275-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |