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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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