# BANKAI PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982145157
- **Authorized official:** ADAM MOSSALLATI MD (OWNER)
- **Authorized official phone:** (304) 203-5754

## Contact information

- **Practice address:** 1111 LINE AVE, SHREVEPORT, LA 71101-3841
- **Practice address phone:** (318) 716-4770
- **Practice address fax:** (318) 716-4791
- **Mailing address:** PO BOX 1684, SHREVEPORT, LA 71165-1684
- **Mailing address phone:** (318) 424-6004
- **Mailing address fax:** (866) 276-8064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 11/21/2022