MARY MAITLAND DELAND MD NPI 1114940046

NPI Information

NPI: 1114940046
Provider Name: MARY MAITLAND DELAND, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
1507 ALICE DR
LAFAYETTE, LA
ZIP 70503
Phone: (337) 989-0812
Get Directions

Mary Maitland Deland, MD is a radiation oncology radiology in Lafayette, LA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Mary Maitland Deland, MD NPI is 1114940046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1507 ALICE DR
LAFAYETTE, LA
ZIP 70503-083
Phone: (337) 989-0812
Fax: (337) 284-3799

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	05746R	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5DX68	OTHER	LOUISIANA	ONCOLOGICS LLC GROUP PTAN EFFECTIVE 05/19/2012
2	P00475837	OTHER	LOUISIANA	MEDICARE RR
3	5L616DX68	OTHER	LOUISIANA	M. MAITLAND DELAND MEDICARE PTAN EFFECTIVE 05/19/2012
4	1319236	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »