NPIMap

Organization Active NPI

Jaldeep H Daulat DO Professional Corporation

Doing business as Mojave Skin & Cancer Clinic

  • Dermatology Physician
  • Laughlin, NV
National Provider Identifier
1366544124
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
363 Issued in NV
Legal business name
JALDEEP H DAULAT DO PROFESSIONAL CORPORATION
Doing business as
Mojave Skin & Cancer Clinic
Practice address
3650 S Pointe Cir
106
Laughlin, NV 89029-0424
Phone
(800) 447-8405
Fax
(702) 298-0524
NPI assigned
Sep 2, 2006
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jaldeep H Daulat, DO
Title
Owner
Phone
(702) 254-1588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 363 NV Primary

Addresses

Primary practice location

3650 S Pointe Cir
106
Laughlin, NV 89029-0424

Mailing address

2101 S Valadez St
Las Vegas, NV 89117-1970
Phone (702) 254-1588

Other names 1

  • Mojave Skin & Cancer Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1744 Highway 95
Ste 10
Bullhead City, AZ 86442
Phone (702) 254-1588

2350 Miracle Mile
Bullhead City, AZ 86442
Phone (702) 254-1588

2350 Miracle Mile
Ste 600A
Bullhead City, AZ 86442

2002 N Stockton Hill Rd
#3
Kingman, AZ 86401

2002 N Stockton Hill Rd
Unit 3
Kingman, AZ 86401
Phone (800) 447-8405

2401 N Stockton Hill Rd
Ste 3
Kingman, AZ 86401
Phone (928) 753-9499

3801 Santa Rosa Dr
Ste B
Kingman, AZ 86401
Phone (702) 254-1588

1951 Mesquite Ave
Ste 1
Lake Havasu City, AZ 86403
Phone (520) 453-8444

1875 S Nellis Blvd
Las Vegas, NV 89104
Phone (800) 447-8405

6850 N Durango Dr
Ste 100
Las Vegas, NV 89149
Phone (702) 589-3100

340 Falcon Ridge Pkwy
Ste 40040
Mesquite, NV 89027

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1366544124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S VALADEZ ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171970",
            "telephone_number": "702-254-1588",
            "fax_number": "702-243-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 S POINTE CIR",
            "address_2": "106",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290424",
            "telephone_number": "800-447-8405",
            "fax_number": "702-298-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALDEEP H DAULAT DO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "JALDEEP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-254-1588",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NV",
            "license": "363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mojave Skin & Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laughlin, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.