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NPI Code Detail

MEDICARE: DEMETRIUS RAYFORD

MEDICARE: DEMETRIUS RAYFORD
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
1171M00000XCase Manager/Care Coordinator
2175T00000XPeer Specialist

General Provider Information

NPI Number : 1437658457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMETRIUS RAYFORD
Provider Business Mailing Address
First Line : 400 LAPALCO BLVD STE H
Second Line :
City : GRETNA
State : LA
Zip : 70056-7372
Country : US
Telephone Number : 504-223-0256
Fax Number :
Provider Business Practice Location Address
First Line : 3221 BEHRMAN HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70114-8003
Country : US
Telephone Number : 504-263-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2018
Last Update Date : 06/09/2026

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Directions to “ DEMETRIUS RAYFORD ” Practice Location

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