Individual
DR. JALDEEP H DAULAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3975 S DURANGO DR STE 107, LAS VEGAS, NV 89147-4156
(702) 628-5333
(702) 974-0440
Mailing address
9750 W SKYE CANYON PARK DR, SUITE 160 BOX 103, LAS VEGAS, NV 89166
(702) 683-1727
(702) 974-0440
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
363
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003254
RAILROAD MEDICARE
NV
01
—
070012029
RAILROAD MEDICARE
AZ
05
—
1114949492
—
NV
Enumeration date
07/24/2006
Last updated
07/11/2023
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