Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 019529 | LA |
N | 111NI0900X | Internist | 019529 | LA |
Y | 207RI0200X | Infectious Disease | 019529 | LA |
NPI | 1023030129 |
---|---|
Provider Name | Richard Paul Dicarlo |
First Address | New Orleans, LA 70112-1221 |
Second Address | New Orleans, LA 70112-2272 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 23/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00114106 | (05) | MS |
1906182 | (05) | LA |
F08450 | (02) |