Moissidis, Ioannis A.

Moissidis, Ioannis A. is an individual health care provider with primary practice located at 850 Olive St Suite B, Shreveport LA 71104-2162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Moissidis, Ioannis A. can be contacted via phone (318) 221-3584.

Contact Information

Primary practice address

850 Olive St Suite B Shreveport LA 71104-2162

Phone: (318) 221-3584

Fax: (318) 227-9094

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Allergy & Immunology	207K00000X	14718R	Louisiana

Profile Details

NPI number	1053308742
LBN Legal business name	Moissidis, Ioannis A.
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 29th, 2005
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1053308742	NPPES
Louisiana	MEDICAID	1053716

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