Individual
NICHOLAS JOHN CARLEVATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2102 IDAHO ST, ELKO, NV 89801
(775) 315-2902
(775) 460-2368
Mailing address
2102 IDAHO ST, ELKO, NV 89801-2625
(775) 315-2902
(775) 460-2368
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
9307
NV
2085R0202X
Diagnostic Radiology Physician
G75259
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
9307
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013136
—
NV
01
—
300113867
RAILROAD MEDICARE
NV
01
—
33650
MEDICARE PTAN
NV
01
—
AX103X
MEDICARE PTAN
CA
01
—
FS4913489
MEDI-CAL
CA
Enumeration date
07/07/2006
Last updated
12/17/2025
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