Moosavi, Benjamin L
Moosavi, Benjamin L is an individual health care provider with primary practice located at 5170 Us Rt 60 East , Huntington WV 25705. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Moosavi, Benjamin L can be contacted via phone (304) 528-4600.Contact Information
Primary practice address
5170 Us Rt 60 East
Huntington WV 25705
Phone: (304) 528-4600
Fax: (304) 697-0856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 64608 | Georgia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 22625 | West Virginia |
Profile Details
| NPI number | 1801000906 |
|---|---|
| LBN Legal business name | Moosavi, Benjamin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | May 7th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801000906 | NPPES |
| Georgia | MEDICAID | 376460880B |
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