Dr Nelson R De Lara, MD is a
Radiology - Vascular & Interventional Radiology physician based in Phoenix, Maryland. Dr Nelson R De Lara is licensed to practice in Maryland (license number D16268) and his current practice location is 26 Glen Alpine Rd, Phoenix, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 510-7017.
NPI number for Dr Nelson R De Lara is 1629242425 and his current mailing address is 26 Glen Alpine Rd, Phoenix, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629242425.
Physician's Profile
Full Name | Dr Nelson R De Lara |
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Gender | Male |
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Speciality | Radiology - Vascular & Interventional Radiology |
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Location | 26 Glen Alpine Rd, Phoenix, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629242425
- Provider Enumeration Date: 04/14/2008
- Last Update Date: 04/14/2008
Medical Identifiers
Medical identifiers for Dr Nelson R De Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629242425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | D16268 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nelson R De Lara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nelson R De Lara, MD 26 Glen Alpine Rd, Phoenix, MD 21131-2404 Ph: (410) 510-7017 | Dr Nelson R De Lara, MD 26 Glen Alpine Rd, Phoenix, MD 21131-2404 Ph: (410) 510-7017 |
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