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DR. MEENA MOOSSAVI M.D. NPI 1982716114


NPI Information

NPI: 1982716114
Provider Name: DR. MEENA MOOSSAVI, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14801 FARMINGTON RD
LIVONIA, MI
ZIP 48154
Phone: (734) 542-8100
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DR. Meena Moossavi, M.D. is a dermatology in Livonia, MI with 27 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Meena Moossavi, M.D. NPI is 1982716114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1997

The provider's business location address is:

14801 FARMINGTON RD
LIVONIA, MI
ZIP 48154
Phone: (734) 542-8100
Fax: (734) 542-8168

The NPI 1982716114 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 12/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology4301076341MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H97368MEDICARE UPINMICHIGAN
22631144OTHERMICHIGANCHANDLER PHS
3P12030359OTHERMICHIGANMULTIPLAN
4ON80190002MEDICARE PINMICHIGAN
5137414OTHERMICHIGANCARE CHOICES
65479254OTHERMICHIGANCNN FIRST HEALTH
70708217322OTHERMICHIGANBCBSM
87063529OTHERMICHIGANAETNA INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.