Organization
JALDEEP H DAULAT DO PROFESSIONAL CORPORATION
Active
Other names
Mojave Skin & Cancer Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JALDEEP H DAULAT DO (OWNER)
(702) 254-1588
Entity
Organization
Contact information
Practice address
3650 S POINTE CIR, 106, LAUGHLIN, NV 89029-0424
(800) 447-8405
(702) 298-0524
Mailing address
2101 S VALADEZ ST, LAS VEGAS, NV 89117-1970
(702) 254-1588
(702) 243-5012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
363
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ9248
RAILROAD MEDICARE GROUP #
AZ
01
—
CJ9249
RAILROAD MEDICARE GROUP #
NV
01
—
P0220910
BLUE CROSSBLUE SHIELD
AZ
Enumeration date
09/02/2006
Last updated
09/10/2010
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