Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | A048745 | CA |
NPI | 1013282060 |
---|---|
Provider Name | Dr. Daulat Shaukat Chandani |
First Address | Los Angeles, CA 90025-3996 |
Second Address | Los Angeles, CA 90025-3996 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2012 |
Last Update Date | 16/12/2012 |