Provider Demographics
NPI:1841677986
Name:HILLE, CHAD A (MD)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:A
Last Name:HILLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-6505
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:7777 HENNESSY BLVD STE 501A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816
Practice Address - Country:US
Practice Address - Phone:225-765-6505
Practice Address - Fax:225-765-1223
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2024-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
LA323677207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program