| Bankai Physicians Llc | |
|
1111 Line Ave Shreveport LA 71101-3841 | |
| (318) 716-4770 | |
| (318) 716-4791 |
| Full Name | Bankai Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Line Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Adam Mossallati (OWNER) |
| Authorized Official Contact | 3042035754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bankai Physicians Llc Po Box 1684 Shreveport LA 71165-1684 Ph: (318) 424-6004 | Bankai Physicians Llc 1111 Line Ave Shreveport LA 71101-3841 Ph: (318) 716-4770 |
| NPI Number | 1982145157 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 5294002846 |
|---|---|
| Medicare Enrollment ID | O20170601002208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982145157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Adam S Mossallati |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447517974 PECOS PAC ID: 0345548574 Enrollment ID: I20160622001074 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 | |
Shreveport Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129 Phone: 318-686-3770 Fax: 318-686-3838 |