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NPI Code Detail

MEDICARE: DR. RAYLAND KEVIN BEURLOT M.D.

MEDICARE: DR. RAYLAND KEVIN BEURLOT 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
1208100000XPhysical Medicine & Rehabilitation Physician20112LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4260040912OTHERLARAILROAD MEDICARE
55R012BC72OTHERLAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120112OTHERLALA LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
372-1246297OTHERALOCHSNER
6K6989OTHERTXTX STATE LICENSE

General Provider Information

NPI Number : 1801890751
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYLAND KEVIN BEURLOT M.D.
Provider Business Mailing Address
First Line : PO BOX 12787
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71315-2787
Country : US
Telephone Number : 318-473-9050
Fax Number : 318-473-0086
Provider Business Practice Location Address
First Line : 2495 SHREVEPORT HWY
Second Line :
City : PINEVILLE
State : LA
Zip : 71360-4044
Country : US
Telephone Number : 184-730-0103
Fax Number : 318-445-3510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 10/03/2023

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