Cyrus Ghazi, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

16511 Issued in KY

Practice address

2307 Greene Way
Louisville, KY 40220-4009

Phone

(502) 897-9594

Fax

(502) 896-1808

NPI assigned

May 31, 2005

Last updated

Jul 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Associates, LLC

  dba CPA Lab

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1881697464
  NPD (past)
• Louisville Pathology Associates PSC

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1265465801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1528061991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950251",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950251",
            "telephone_number": "502-897-9594",
            "fax_number": "502-896-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204009",
            "telephone_number": "502-897-9594",
            "fax_number": "502-896-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZI",
        "first_name": "CYRUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "16511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64165111",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100372470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ravi Ghani, MD
• Reza Gharachamani Asl
• Mehdi Ghayoumi, D.C.
• Tracey McNeely Ghayoumi
• Cameron Ghazi, MD
• Victoria Ghernautan, MD
• Mahan Ghiassi, M.D.
• Mala Ghiya
• Emily Ghobadi, M.D.
• Lamont Ray Gholston, DMD

• Anatomic Pathology & Clinical Pathology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.