Individual
NICHOLAS A DELECARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-2360
(402) 354-2440
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073713A
IN
207R00000X
Internal Medicine Physician
2012032353
MO
208M00000X
Hospitalist Physician
Primary
36447
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201222640
—
IN
Enumeration date
07/28/2010
Last updated
07/30/2024
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