IndividualActive
Manoocher Mofidi, MD
NPI 1013934959 · Child & Adolescent Psychiatry Physician · Louisville, KY
Provider details
- NPI number
- 1013934959
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01037544A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2225 W Broadway
Louisville, KY 40211-1003
Phone: (502) 589-8600
Fax: (502) 589-8771
Approximate (ZIP-level) locationGet directions
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2013-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.