| Mohammad A. Mian, Md Psc | |
|
9017 Taylorsville Rd Louisville KY 40299-1749 | |
| (502) 499-9993 | |
| (502) 495-0758 |
| Full Name | Mohammad A. Mian, Md Psc |
|---|---|
| Speciality | Specialist |
| Location | 9017 Taylorsville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Jacqueline Jacobs Singer (OFFICE MANAGER) |
| Authorized Official Contact | 5024999993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad A. Mian, Md Psc 9017 Taylorsville Rd Louisville KY 40299-1749 Ph: (502) 499-9993 | Mohammad A. Mian, Md Psc 9017 Taylorsville Rd Louisville KY 40299-1749 Ph: (502) 499-9993 |
| NPI Number | 1639399249 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 03/10/2008 |
| Medicare PECOS PAC ID | 0648217398 |
|---|---|
| Medicare Enrollment ID | O20050413001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639399249 | NPI | - | NPPES |
| 65917932 | Medicaid | KY | |
| 100116470 | Medicaid | IN | |
| 64222425 | Medicaid | KY | |
| 82004250 | Medicaid | KY | |
| 200055430 | Medicaid | IN | |
| 82900036 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 425 (Kentucky) | Secondary |
| 174400000X | Specialist | 22242 (Kentucky) | Primary |
| Provider Name | Mohammad A Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881796183 PECOS PAC ID: 4789621681 Enrollment ID: I20050412001258 |
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