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Contact Information

DEANNA E MOSSALLATI, D.O
8551 GREENWOOD RD
SUITE 410
SHREVEPORT, LA71103
 Phone: 318-621-2929
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEANNA E MOSSALLATI · (Female)

NPI Number 1699017681
Status Active
Credentials D.O
Entity Individual
Enumeration date 03/18/2013
Last updated 09/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 303623
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL AND MEDICAL CENTER - (Acute Care)
    7201 N UNIVERSITY DR
    TAMARAC, FL 33321
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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