Individual
RAYNOLD DEPESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3704 LANAMER RD, RANDALLSTOWN, MD 21133-1517
(410) 265-5400
(410) 298-3917
Mailing address
3704 LANAMER RD, RANDALLSTOWN, MD 21133
(410) 655-4946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D27157
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484691500
—
MD
Enumeration date
09/05/2006
Last updated
04/15/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us