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PROF. RAYMOND DERDERIAN M.D.
NPI 1699779090
Internal Medicine - Nephrology in Beaumont, TX

Active since June 13, 2005
2965 HARRISON ST, STE 317, BEAUMONT, TX 77702(409) 554-0911(409) 554-0912 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Raymond Derderian M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROF. RAYMOND DERDERIAN M.D. (NPI 1699779090) is an individual nephrology provider in Beaumont, Texas, licensed in Texas (H0043) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1699779090
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePROF. RAYMOND DERDERIANCredential: M.D.
Location Address2965 HARRISON ST, STE 317Beaumont, TX 77702-1150
Mailing Address2965 Harrison St, Ste 317Beaumont, TX 77702-1150 · (409) 554-0911 · Fax (409) 554-0912
Phone(409) 554-0911
Fax(409) 554-0912
Sole ProprietorYes
Enumeration DateJune 13, 2005
Last NPPES UpdateAugust 18, 2016
✔ NPI 1699779090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · H0043
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2965 HARRISON ST, Beaumont, TX 77702
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Other Identifiers 3

Medicare OSCAR/certification262268TX
Medicaid113566701TX
Medicare UPINB22217TX

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL ONG MD
Internal Medicine (Gastroenterology)
2965 HARRISON ST, STE 211
BEAUMONT, TX 77702
Jefferson County (409) 899-4231
DR. JAMES CARLTON ROBINSON MD
Internal Medicine (Nephrology)
2965 HARRISON ST, 116
BEAUMONT, TX 77702
Jefferson County (409) 892-1003
GOLDEN TRIANGLE NEUROCARE LLP
Neurological Surgery
2965 HARRISON ST, SUITE 111
BEAUMONT, TX 77702
Jefferson County (409) 898-7800
DR. CHARLES BRIAN CRIM M.D.
Dermatology (Procedural Dermatology)
2965 HARRISON ST, #217
BEAUMONT, TX 77702
Jefferson County (409) 892-4664
SURGICAL CRITICAL CARE ASSOCIATES, LLP
Surgery (Trauma Surgery)
2965 HARRISON ST, SUITE 211
BEAUMONT, TX 77702
Jefferson County (409) 899-8501
SHUNG MAN KURT LEE MD
Internal Medicine (Nephrology)
2965 HARRISON ST, STE 222
BEAUMONT, TX 77702
Jefferson County (409) 892-1003
SHUNG-MAN KURT LEE MDPA
Internal Medicine (Nephrology)
2965 HARRISON ST, STE 222
BEAUMONT, TX 77702
Jefferson County (409) 892-1003
VIJAYALAKSHMI MADALA TAMMAREDDI M.D.
Anesthesiology
2965 HARRISON ST, SUITE 316
BEAUMONT, TX 77702
Jefferson County (409) 899-2332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Derderian's NPI number?

The NPI number for Raymond Derderian is 1699779090. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Raymond Derderian located?

Raymond Derderian practices at 2965 Harrison St Ste 317, Beaumont, TX 77702. The listed phone number is (409) 554-0911.

What is Raymond Derderian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Raymond Derderian was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.