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NPI Code Detail

MEDICARE: J H DAULAT DO PC

MEDICARE: J H DAULAT DO PC
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
1207N00000XDermatology Physician363NV

General Provider Information

NPI Number : 1821534983
Entity Type Code : Organization
Provider Name (Legal Business Name) : J H DAULAT DO PC
Provider Business Mailing Address
First Line : 9750 W SKYE CANYON PARK DR
Second Line : SUITE 160 #103
City : LAS VEGAS
State : NV
Zip : 89166
Country : US
Telephone Number : 702-683-1727
Fax Number : 702-974-0440
Provider Business Practice Location Address
First Line : 1420 E CALVADA BLVD
Second Line : STE 100
City : PAHRUMP
State : NV
Zip : 89048-3974
Country : US
Telephone Number : 757-270-9007
Fax Number : 775-727-0902
Authorized Official
Title or Position : OWNER
Name : DR. JALDEEP H DAULAT
Credential : DO
Telephone Number : 702-654-3187
Provider Enumeration Date : 01/13/2017
Last Update Date : 12/28/2022

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