Individual
SHAHAB MOOSSAVI
Active
Individual
SHAHAB MOOSSAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420012514
VT
207RI0011X
Interventional Cardiology Physician
Primary
17433
NH
208M00000X
Hospitalist Physician
0420012514
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021072
—
VT
Enumeration date
05/28/2009
Last updated
07/22/2020
Update your record
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