Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prof. Raymond Derderian, MD

Individual provider Nephrology Physician · NPI 1699779090

Prof. Raymond Derderian, MD is a Nephrology Physician in Beaumont, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2965 Harrison St Ste 317
Beaumont, TX 77702-1150
Phone: (409) 554-0911
Fax: (409) 554-0912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence H0043 (TX)

Record details

NPI number1699779090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2005
Last updated in NPPESAugust 18, 2016
Mailing address2965 Harrison St, Ste 317, Beaumont, TX 77702-1150

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