Individual
DR. MICHELLE A CHICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2551 GREENWOOD RD STE 411, SHREVEPORT, LA 71103-3981
(318) 212-8624
(318) 212-8632
Mailing address
2551 GREENWOOD RD STE 411, SHREVEPORT, LA 71103-3981
(318) 212-8624
(318) 212-8632
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD200023
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040983
—
LA
01
—
P00814512
RR MEDICARE NUMBER
LA
Enumeration date
08/27/2007
Last updated
02/02/2026
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