MOHAVE DERMATOLOGY
NPI 1194268987
Dermatology in Las Vegas, NV

Active since November 28, 2016CLIA 29D2271051 · Certificate of Compliance
3975 S DURANGO DR STE 107, LAS VEGAS, NV 89147(702) 628-5333(702) 487-3599 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2023, Dec 28, 2022, Aug 17, 2021 (3 updates tracked since 2021).

About Mohave Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAVE DERMATOLOGY (NPI 1194268987) is a healthcare organization registered as a dermatology in Las Vegas, Nevada and active in the NPI registry since November 2016. The organization holds a CLIA Certificate of Compliance certificate valid through April 23, 2027, maintains a secondary practice location in Las Vegas, and lists Jaldeep H Daulat, Owner, as its authorized official.

NPPES Registry Identity

NPI1194268987
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJ H DAULAT DO PC
Location Address3975 S DURANGO DR STE 107Las Vegas, NV 89147-4156
Mailing Address9750 W Skye Canyon Park Dr, Suite 160 Box103Las Vegas, NV 89166 · (702) 683-1727 · Fax (702) 974-0440
Fax(702) 487-3599
Organization SubpartNo
Authorized OfficialJaldeep H DaulatOwner · (702) 654-3187
Enumeration DateNovember 28, 2016
Last NPPES UpdateMarch 3, 20233 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
NPI 1194268987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NV · 363
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3975 S DURANGO DR STE 107, Las Vegas, NV 89147

Other Names 1

Doing Business AsMohave Dermatology

Secondary Practice Location 1

Location 13975 S Durango Dr Ste 107Las Vegas, NV 89147-4156 · Phone (702) 628-5333 · Fax (702) 487-3599

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 29D2271051

Mohave Dermatology - Vegas · Las Vegas, NV
Active · expires Apr 23, 2027
CLIA Number29D2271051
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorJaldeep H. Daulat
Laboratory Phone(702) 628-5333
Laboratory LocationMohave Dermatology - Vegas3975 S Durango Dr, Ste 107, Las Vegas, NV 89147
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (MOHS-Micrographic Surgery)
3975 S DURANGO DR STE 107
LAS VEGAS, NV 89147
Physician Assistant
3975 S DURANGO DR STE 107
LAS VEGAS, NV 89147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194268987, enumerated as an "organization" on November 28, 2016.

The provider is located at 3975 S DURANGO DR STE 107 LAS VEGAS, NV 89147 and the phone number is (702) 628-5333.

Dermatology with taxonomy code 207N00000X.