Provider Demographics
NPI:1578711446
Name:DALAL, NEIL D (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:D
Last Name:DALAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:833 AUTO CENTER DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-4488
Mailing Address - Country:US
Mailing Address - Phone:661-942-6577
Mailing Address - Fax:661-349-8404
Practice Address - Street 1:833 AUTO CENTER DR
Practice Address - Street 2:SUITE D
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-4488
Practice Address - Country:US
Practice Address - Phone:661-942-6577
Practice Address - Fax:661-349-8404
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2021-11-17
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Provider Licenses
StateLicense IDTaxonomies
CA1301272086S0122X, 2086S0122X
IL036119281208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery