Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NELSON R. DE LARA, M.D.
Active Sole ProprietorDR. NELSON R. DE LARA, M.D. is a Therapeutic Radiology healthcare provider located in PHOENIX, Maryland. NPI 1629242425 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · PHOENIX, MD
Registration Details
- NPI Number
- 1629242425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2008 (18.362484859058 yrs)
- Last Updated
- Apr 14, 2008
- License
-
D16268 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26 GLEN ALPINE RDPHOENIX, MD, 211312404Browse MD providers · Browse ZIP 21131
- Phone
- 4105107017
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.