Individual
MIR MOUSAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 MIDDLEFORD RD, SEAFORD, DE 19973-3600
(302) 629-0260
(302) 629-3418
Mailing address
701 MIDDLEFORD RD, SEAFORD, DE 19973-3600
(302) 629-0260
(302) 629-3418
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
C10001859
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000019401
DPCI
DE
05
—
0000019401
—
DE
01
—
0097634000
AMERIHEALTH
DE
01
—
340011
MAMSI,ALLIANCE,OPT CHOICE
DE
01
—
41834801
CAREFIRST
DE
01
—
4275023
AETNA
DE
01
—
B66589
BCBS DE
DE
01
—
G254001
BCBS DC
DE
Enumeration date
10/25/2006
Last updated
07/09/2007
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