Provider Demographics
NPI:1356655328
Name:GULATI, ATUL
Entity type:Individual
Prefix:DR
First Name:ATUL
Middle Name:
Last Name:GULATI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ATUL
Other - Middle Name:M
Other - Last Name:GULATI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:300 S LAMAR BLVD APT 421
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-1095
Mailing Address - Country:US
Mailing Address - Phone:214-500-1251
Mailing Address - Fax:
Practice Address - Street 1:300 S LAMAR BLVD APT 421
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1095
Practice Address - Country:US
Practice Address - Phone:214-500-1251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30828122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist