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Individual

MR. GIRISH H DAULAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4500 W OAKEY BLVD, LAS VEGAS, NV 89102
(702) 873-5110
(702) 873-8093
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
552
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235226770
NV
01
552
STATE LICENSE
NV
Enumeration date
10/06/2006
Last updated
10/17/2022
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