Individual provider · Type 1 NPI

Sofie M. Pecchillo, MD

Student in an Organized Health Care Education/Training Program · Shreveport, LA

NPI number 1790463156 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 626-0434 Map

Other practice locations

  • 251 E Huron St Ste 16-738, Chicago, IL 60611-3055 · (312) 926-5924

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X337403 (LA)
Hospitalist Physician 208M00000X036181870 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790463156

Sofie M. Pecchillo, MD's National Provider Identifier is 1790463156, issued on Jul 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 14, 2026.