Provider Demographics
NPI:1538127360
Name:BECKFORD, RITA DEATTREA (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:DEATTREA
Last Name:BECKFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:275 SPRINGSIDE DR
Mailing Address - Street 2:#100
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4548
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2365 EDISON BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2388
Practice Address - Country:US
Practice Address - Phone:330-425-4047
Practice Address - Fax:330-963-4783
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-076968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2241747Medicaid
OH34-1898545OtherTAX ID
P00403158OtherRAILROAD MEDICARE
H34205Medicare UPIN