MEDICARE: DR. RAYGAN L LOFTON MD

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	207Q00000X	Family Medicine Physician	D64565	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00602813	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	208595	OTHER	MD	JHHC PRIORITY PARTNERS
2	8170793	OTHER	MD	MAMSI PRIMARY CARE
3	925556-01	OTHER	MD	CAREFIRST MD RENDERING PROVIDER NUMBER
4	7605-0093	OTHER	MD	CAREFIRST BLUECHOICE
5	1498393	OTHER	MD	CIGNA PIN
6	1604419	OTHER	MD	AETNA HMO
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	P17925	OTHER	MD	CAREFIRST MPOS
10	2170793	OTHER	MD	MAMSI SPECIALIST
11	7554954	OTHER	MD	AETNA PPO

General Provider Information

NPI Number	:	1083797955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYGAN L LOFTON MD

Provider Business Mailing Address
First Line	:	1111 BENFIELD BLVD
Second Line	:	SUITE 200
City	:	MILLERSVILLE
State	:	MD
Zip	:	21108-3002
Country	:	US
Telephone Number	:	410-729-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	24A MAGOTHY BEACH RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4428
Country	:	US
Telephone Number	:	410-255-2700
Fax Number	:	410-437-1962

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	02/01/2018

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