Ioannis A. Moissidis
Allergist & Immunologist
850 Olive St Suite B
Shreveport
, Louisiana 71104-2162
Ioannis A. Moissidis
Allergist & Immunologist
850 Olive St Suite B
Shreveport
, Louisiana 71104-2162
(318) 227-9094
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Ioannis A. Moissidis
- 850 Olive St Suite B
- Shreveport, LA
- Zip : 71104-2162
- Fax : (318) 227-9094
- Phone : (318) 221-3584
Second Address
- Ioannis A. Moissidis
- 850 Olive St Suite B
- Shreveport, LA
- Zip : 71104-2162
- Fax : (318) 227-9094
- Phone : (318) 221-3584
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 14718R | LA |
National Provider Identifier
| NPI | 1053308742 |
|---|---|
| Provider Name | Ioannis A. Moissidis |
| First Address | Shreveport, LA 71104-2162 |
| Second Address | Shreveport, LA 71104-2162 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053716 | (05) | LA |
| G88912 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.