Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imperial Medicine LLC

Organization Internal Medicine Physician · NPI 1629504220

Imperial Medicine LLC is an Internal Medicine Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.

Licensed in
LA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 Irving Pl
Shreveport, LA 71101-4608
Phone: (318) 425-4096
Fax: (318) 425-8438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 303623 (LA)

Record details

NPI number1629504220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna Mossallati — Member Manager · (318) 425-4096
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 3, 2017
Mailing addressPo Box 64568, Phoenix, AZ 85082-4568

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