MEDICARE: GULATI & ASSOCIATES PA

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	207RN0300X	Nephrology Physician	ME 75667	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073524161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULATI & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	10726 CHARLESTON PLACE
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33026
Country	:	US
Telephone Number	:	954-438-6080
Fax Number	:	954-499-5599

Provider Business Practice Location Address
First Line	:	3105 N UNIVERSITY DR
Second Line	:	SUITE 209
City	:	DAVIE
State	:	FL
Zip	:	33024-2234
Country	:	US
Telephone Number	:	954-438-6080
Fax Number	:	954-499-5599

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. MANJIT S GULATI
Credential	:	MD
Telephone Number	:	954-438-6080

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	02/04/2013

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Directions to “GULATI & ASSOCIATES PA ” Practice Location

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