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Bankai Physicians LLC

Internal Medicine in Shreveport, LA. Organization (NPI-2).

NPI number1982145157
StatusActive
Last updated in NPPESNov 21, 2022

Details

NPI
1982145157
Entity type
Organization (NPI-2)
Legal business name
Bankai Physicians LLC
Organization subpart
No
Enumeration date
Mar 20, 2017
Certification date
Nov 18, 2022
Last updated
Nov 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
208100000X Physical Medicine & Rehabilitation––

Practice location

1111 Line Ave
Shreveport, LA 71101-3841

Phone 318-716-4770 · Fax 318-716-4791

Mailing address

Po Box 1684
Shreveport, LA 71165-1684

Phone 318-424-6004 · Fax 866-276-8064

Other practice locations

1800 Irving Pl
Shreveport, LA 71101-4608

Phone 318-425-4096 · Fax 318-425-8438

2525 Viking Dr
Bossier City, LA 71111-2103

Phone 318-841-2525 · Fax 318-425-8438

Authorized official

Adam Mossallati
Owner
3042035754

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