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IOANNIS A. MOISSIDIS MD

Allergy and Immunology

Shreveport, Louisiana

Provider NPI: 1053308742

Provider Information:
 IOANNIS A. MOISSIDIS MD


Practice Location:
850 OLIVE ST SUITE B SHREVEPORT, LA 71104 US
Tel: 318-221-3584  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
LA14718R

Other Provider Identifiers:

IssuerNumberStateType
1053716LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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