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NPI Code Detail

MEDICARE: KARL NUSHIR DALAL MD

MEDICARE: KARL NUSHIR DALAL 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
1208000000XPediatrics Physician35085012OH
2208000000XPediatrics PhysicianA95570CA

General Provider Information

NPI Number : 1467451245
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARL NUSHIR DALAL MD
Provider Business Mailing Address
First Line : 5168 HONPIE RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-8682
Country : US
Telephone Number : 530-387-4975
Fax Number :
Provider Business Practice Location Address
First Line : 5168 HONPIE RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-8682
Country : US
Telephone Number : 530-387-4975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 09/14/2023

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