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NPI Code Detail

MEDICARE: MR. RAYMOND IAN MCDERMOTT M.D.

MEDICARE: MR. RAYMOND IAN MCDERMOTT 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
12085R0202XDiagnostic Radiology PhysicianD94659MD

General Provider Information

NPI Number : 1326570896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND IAN MCDERMOTT M.D.
Provider Business Mailing Address
First Line : 601 N CAROLINE ST # 3022
Second Line :
City : BALTIMORE
State : MD
Zip : 21287-0006
Country : US
Telephone Number : 410-955-9446
Fax Number : 410-578-0567
Provider Business Practice Location Address
First Line : 210 25TH AVE N STE 1204
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1620
Country : US
Telephone Number : 615-312-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 06/01/2026

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