Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitchell Moosavi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295120897

Mitchell Moosavi, MD is a Pathology in Lansing, Michigan. Graduated from Texas a & M University System, Hsc, College of Medicine in 2015, 11 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10833 Le Conte Ave, Los Angeles, CA 90095-1732 — (310) 825-5719

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301501896 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295120897
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address1215 E Michigan Ave, Lansing, MI 48912-1811

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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