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Contact Information

ADAM S MOSSALLATI, MD
1111 LINE AVE
SHREVEPORT, LA71101-3841
 Phone: 318-716-4770
 Fax: 318-716-4791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADAM S MOSSALLATI · (Male)

NPI # 1447517974
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2012
Last updated 06/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 301711
Hospital affiliation(s)
  • NORTH CADDO MEDICAL CENTER - (Critical Access)
    1000 SOUTH SPRUCE ST
    VIVIAN, LA 71082
  • PLANTATION GENERAL HOSPITAL - (Acute Care)
    401 NW 42ND AVE
    PLANTATION, FL 33317
  • SPRINGHILL MEDICAL CENTER - (Acute Care)
    2001 DOCTORS DRIVE
    SPRINGHILL, LA 71075
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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