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1578561874

NPI Code Detail

MEDICARE: DR. PAUL T RAFORD MD, MPH

MEDICARE: DR. PAUL T RAFORD MD, MPH

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	74479	FL
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	34816	CO
3	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	74479	FL
4	207Q00000X	Family Medicine Physician	34816	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	811064	OTHER	CO	MEDICARE GROUP NUMBER
4	348308	OTHER	CO	MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020147	OTHER	CO	KAISER COMMERICAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578561874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL T RAFORD MD, MPH

Provider Business Mailing Address
First Line	:	PO BOX 1252
Second Line	:
City	:	CONIFER
State	:	CO
Zip	:	80433-1252
Country	:	US
Telephone Number	:	303-250-0714
Fax Number	:

Provider Business Practice Location Address
First Line	:	7030 S YOSEMITE ST
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-2016
Country	:	US
Telephone Number	:	303-721-9984
Fax Number	:	303-267-7304

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	10/29/2019

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Directions to “ DR. PAUL T RAFORD MD, MPH” Practice Location

Language	Start Address	Practice Location

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