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NPI Code Detail

MEDICARE: DR. MEHUL DAULAT D.O.

MEDICARE: DR. MEHUL DAULAT D.O.
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
1208M00000XHospitalist PhysicianDO180625OR
2207R00000XInternal Medicine PhysicianA-2060-17NM
3207R00000XInternal Medicine Physician5347CO

General Provider Information

NPI Number : 1508270745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEHUL DAULAT D.O.
Provider Business Mailing Address
First Line : 4001 RODEO RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-4830
Country : US
Telephone Number : 505-780-8381
Fax Number : 505-467-8521
Provider Business Practice Location Address
First Line : 4001 RODEO RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-4830
Country : US
Telephone Number : 505-780-8381
Fax Number : 505-467-8521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 01/19/2026

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