Individual
RAJESH PRAFUL DAULAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6677 W THUNDERBIRD RD STE J171-172, GLENDALE, AZ 85306-3732
(623) 977-6245
(623) 977-6280
Mailing address
6677 W THUNDERBIRD RD, J171/ J172, GLENDALE, AZ 85306-3709
(623) 977-6245
(623) 977-6280
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0547
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577380
—
AZ
01
—
AZ0194990
BCBS
AZ
Enumeration date
08/19/2006
Last updated
01/05/2011
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