Mary Maitland Deland in Lafayette - Radiation Oncology
Mary Maitland Deland - NPI 1114940046
Mary Maitland Deland is a Radiation Oncology in Lafayette, Louisiana. Mary Maitland Deland practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Mary Maitland Deland is 1114940046. The last update date is 2020-08-12.
Mary Maitland Deland's current location address is 1507 Alice Dr, Lafayette, Louisiana. You can contact this provider via phone number 3379890812 and fax number 3372843799. The mailing address for Mary Maitland Deland is 1507 Alice Dr, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Maitland Deland |
|---|---|
| Address | 1507 Alice Dr, Lafayette, Louisiana |
| Phone Number | 3379890812 |
| Fax Number | 3372843799 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114940046 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2020-08-12 |
Provider Mailing Address Detail
| Address | 1507 Alice Dr |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705035083 |
| Phone Number | 3379890812 |
| Fax Number | 3372843799 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 05746R |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1319236 | LA | -- | |
| P00475837 | LA | MEDICARE RR | |
| 5DX68 | LA | ONCOLOGICS LLC GROUP PTAN EFFE | |
| 5L616DX68 | LA | M. MAITLAND DELAND MEDICARE PT |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Maitland Deland by the Centers for Medicare & Medicaid Services?
The Mary Maitland Deland has been issued the NPI (National Provider Identifier) 1114940046, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Maitland Deland?
The Mary Maitland Deland is situated at 1507 Alice Dr, in the city of Lafayette, state of LA, with the zip code 705035083.
What is the Mary Maitland Deland's area of specialization and corresponding taxonomy classification?
The Mary Maitland Deland's specialty field is Radiation Oncology, and it falls under the taxonomy code 2085R0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1114940046 to Mary Maitland Deland?
The Mary Maitland Deland received its 1114940046 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details related to Mary Maitland Deland most recently updated or revised?
The information pertaining to Mary Maitland Deland, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-12.
NPI Number: 1932102142
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