Individual
LEYLA MOOSSAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1621 E BROOMFIELD ST, SUITE A, MOUNT PLEASANT, MI 48858-5427
(989) 775-7492
(989) 775-6892
Mailing address
1621 E BROOMFIELD ST, SUITE A, MT PLEASANT, MI 48858-5427
(989) 775-7492
(989) 775-6892
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301065333
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0986427
HEALTHPLUS COMMERCIAL
MI
01
—
1006843
MCLAREN HEALTH PLAN
MI
01
—
1006844
MCLAREN HEALTH PLAN
MI
01
—
1603700871
BCBSM
MI
01
—
200000005818
PHP COMMERCIAL
MI
05
—
4349365
—
MI
05
—
4711889
—
MI
Enumeration date
06/24/2006
Last updated
09/06/2012
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