Individual provider · Type 1 NPI
Paul Matthews Van Deventer, MD
Specialist · Mandeville, LA
NPI number
1730184193
Active
Practice location
2330 N Causeway Blvd
Mandeville, LA 70471-6402
Fax (985) 674-1722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 10083R (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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- Ralph R. Nix Iii, MDSpecialist Mandeville, LA NPI 1427026558
- Kelly B. WeberSpecialist Mandeville, LA NPI 1447140025
- Amy Salvant, LOTRSpecialist Mandeville, LA NPI 1609993427
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- Susan P. Carter, LOTRSpecialist Mandeville, LA NPI 1710938113
About NPI 1730184193
Paul Matthews Van Deventer, MD's National Provider Identifier is 1730184193, issued on Jun 14, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mandeville, LA. The record was last updated on Jul 13, 2026.