Individual
SIDNEY H RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13100 RIVER RD, SUITE 120, DESTREHAN, LA 70047-5219
(985) 764-7669
(985) 764-7234
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023838
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01381264
—
MS
05
—
1485501
—
LA
01
—
5E907DH01
MEDICARE PTAN
LA
Enumeration date
02/09/2006
Last updated
04/25/2017
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