Provider Demographics
NPI:1013282060
Name:CHANDANI, DAULAT SHAUKAT (MD)
Entity type:Individual
Prefix:DR
First Name:DAULAT
Middle Name:SHAUKAT
Last Name:CHANDANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAULAT
Other - Middle Name:SHAUKAT
Other - Last Name:CHANDANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1530 S CENTINELA AVE
Mailing Address - Street 2:#101
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3996
Mailing Address - Country:US
Mailing Address - Phone:424-832-3100
Mailing Address - Fax:
Practice Address - Street 1:1530 S CENTINELA AVE
Practice Address - Street 2:#101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-3996
Practice Address - Country:US
Practice Address - Phone:424-832-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA048745207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology