| Manoocher Mofidi, MD | |
|
2225 W Broadway, Louisville, KY 40211-1003 | |
| (502) 589-8600 | |
| (502) 589-8771 |
| Full Name | Manoocher Mofidi |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2225 W Broadway, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013934959 | NPI | - | NPPES |
| 200189820A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01037544A (Indiana) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25630 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Manoocher Mofidi, MD 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 Ph: () - | Manoocher Mofidi, MD 2225 W Broadway, Louisville, KY 40211-1003 Ph: (502) 589-8600 |
Dr. Christopher R. Shafer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 510, Louisville, KY 40202 Phone: 502-588-4800 Fax: 502-588-4801 | |
David James Haustein, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way # 1200, Louisville, KY 40202 Phone: 502-584-3377 | |
Elizabeth B. Shelton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir, Ste 312, Louisville, KY 40207 Phone: 812-282-1888 Fax: 812-285-8392 | |
Dr. Steven B Lippmann, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 550 S Jackson St, Louisville, KY 40202 Phone: 502-852-1759 Fax: 502-852-5098 | |
Tanya Wozniak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4201 Springhurst Blvd Ste 203, Louisville, KY 40241 Phone: 502-425-6690 Fax: 502-890-2092 | |
Bryan Jessop Eckerle, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-4940 Fax: 502-636-4941 |