MEDICARE: DR. MICHELLE ENGELHORN DUHE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		LA
2	207Q00000X	Family Medicine Physician	304228	LA

General Provider Information

NPI Number	:	1942646567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE ENGELHORN DUHE M.D.

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-526-0018
Fax Number	:	225-765-9468

Provider Business Practice Location Address
First Line	:	5000 ODONAVAN BLVD
Second Line	:	SUITE 404
City	:	WALKER
State	:	LA
Zip	:	70785-6351
Country	:	US
Telephone Number	:	225-765-5500
Fax Number	:	225-369-8140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	09/02/2021

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