Individual
DR. MEENA MOOSSAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14801 FARMINGTON RD, LIVONIA, MI 48154
(734) 542-8100
(734) 542-8168
Mailing address
14801 FARMINGTON RD, LIVONIA, MI 48154
(734) 542-8100
(734) 542-8168
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301076341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708217322
BCBSM
MI
01
—
137414
CARE CHOICES
MI
01
—
2631144
CHANDLER PHS
MI
01
—
5479254
CNN FIRST HEALTH
MI
01
—
7063529
AETNA INSURANCE
MI
01
—
P12030359
MULTIPLAN
MI
Enumeration date
09/01/2006
Last updated
12/09/2011
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