Individual
ADAM SAAD MOSSALLATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 LINE AVE, SHREVEPORT, LA 71101-3841
(318) 716-4770
(318) 716-4791
Mailing address
PO BOX 1684, SHREVEPORT, LA 71165-1684
(318) 424-6004
(858) 230-1466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
301711
LA
208100000X
Physical Medicine & Rehabilitation Physician
301711
LA
208M00000X
Hospitalist Physician
301711
LA
Other
Enumeration date
04/22/2012
Last updated
06/07/2023
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