Individual provider · Type 1 NPI

Robert Joseph Derveloy Iii, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Tupelo, MS

NPI number 1689674707 Active

Practice location

830 S Gloster St, Nmmc East Tower 4th Floor
Tupelo, MS 38801-4934

Fax (662) 377-2423

Mailing address

PO Box 7062
Tupelo, MS 38802-7062

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X12390 (MS)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1689674707

Robert Joseph Derveloy Iii, MD's National Provider Identifier is 1689674707, issued on Jul 29, 2005. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Tupelo, MS. The record was last updated on Jul 13, 2026.