MEDICARE: TARUNA GULATI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	Q5810	TX

General Provider Information

NPI Number	:	1104065796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARUNA GULATI MD

Provider Business Mailing Address
First Line	:	PO BOX 794948
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75379-4948
Country	:	US
Telephone Number	:	972-488-8926
Fax Number	:	972-881-4390

Provider Business Practice Location Address
First Line	:	17440 DALLAS PKWY
Second Line	:	SUITE 228
City	:	DALLAS
State	:	TX
Zip	:	75287-7336
Country	:	US
Telephone Number	:	972-488-8926
Fax Number	:	972-881-4390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	09/13/2016

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