Organization
DAULAT MEDICAL CENTER
Active
Organization
DAULAT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTAM DAULAT D.O. (OWNER)
(702) 565-4917
Entity
Organization
Contact information
Practice address
7106 SMOKE RANCH RD, SUITE 120, LAS VEGAS, NV 89128-8306
(702) 565-4917
(702) 562-8680
Mailing address
7106 SMOKE RANCH RD, SUITE 120, LAS VEGAS, NV 89128-8306
(702) 565-4917
(702) 562-8680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
799
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295709418
—
NV
01
—
P0083737
RAILROAD MEDICARE
NV
Enumeration date
10/07/2015
Last updated
10/07/2015
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