Provider Demographics
NPI:1982829941
Name:FORCADA-LOWRIE, RAYMUNDO AHTERI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMUNDO
Middle Name:AHTERI
Last Name:FORCADA-LOWRIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 33829
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92163-3829
Mailing Address - Country:US
Mailing Address - Phone:401-450-1123
Mailing Address - Fax:
Practice Address - Street 1:4535 DRESSLER RD NW
Practice Address - Street 2:CLAVERICK 2
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2545
Practice Address - Country:US
Practice Address - Phone:800-828-0898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12946207P00000X
CAA113070207P00000X
OH35.127265207P00000X
NY258164-1207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA10/27/2009OtherTUFTS HEALTH PLAN
RI001113701OtherRI MEDICARE
RI04/15/2009OtherUNITED HEALTHCARE
RI939025129OtherUEMF GROUP RI MEDICARE
RIP00775377OtherRAILROAD MEDICARE
RI08-28-2009OtherBCBSRI
MA110084187AMedicaid
RI08/13/2009OtherNHPRI
RIRF75957Medicaid