Provider Demographics
NPI:1912227455
Name:MOOSAVI, SYED ABBAS HUSSAIN (MD)
Entity type:Individual
Prefix:DR
First Name:SYED ABBAS
Middle Name:HUSSAIN
Last Name:MOOSAVI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8152 25 MILE RD STE B
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-1904
Mailing Address - Country:US
Mailing Address - Phone:248-844-8281
Mailing Address - Fax:248-844-9105
Practice Address - Street 1:8152 25 MILE RD STE B
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-1904
Practice Address - Country:US
Practice Address - Phone:248-844-8281
Practice Address - Fax:248-844-9105
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301096741208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation