Manoocher Mofidi in Louisville - Child & Adolescent Psychiatry
Manoocher Mofidi - NPI 1013934959
Manoocher Mofidi is a Child & Adolescent Psychiatry in Louisville, Kentucky. Manoocher Mofidi practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Manoocher Mofidi is 1013934959. The last update date is 2013-02-13.
Manoocher Mofidi's current location address is 2225 W Broadway, Louisville, Kentucky. You can contact this provider via phone number 5025898600 and fax number 5025898771. The mailing address for Manoocher Mofidi is 2225 W Broadway, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manoocher Mofidi |
|---|---|
| Address | 2225 W Broadway, Louisville, Kentucky |
| Phone Number | 5025898600 |
| Fax Number | 5025898771 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013934959 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2013-02-13 |
Provider Mailing Address Detail
| Address | 2225 W Broadway |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402111003 |
| Phone Number | 5025898600 |
| Fax Number | 5025898771 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 25630 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200189820A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Manoocher Mofidi by the Centers for Medicare & Medicaid Services?
The Manoocher Mofidi has been issued the NPI (National Provider Identifier) 1013934959 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Manoocher Mofidi?
The Manoocher Mofidi is situated at 2225 W Broadway, in the city of Louisville, state of KY, with the zip code 402111003.
What is Manoocher Mofidi's area of expertise and its corresponding taxonomy classification?
The Manoocher Mofidi's field of specialization is Child & Adolescent Psychiatry, and it falls under the taxonomy code 2084P0804X, which categorizes healthcare providers based on their areas of practice.
On what date did Manoocher Mofidi receive its 1013934959 assignment from the Centers for Medicare & Medicaid Services?
The Manoocher Mofidi was assigned its 1013934959 on 2006-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Manoocher Mofidi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Manoocher Mofidi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-13.
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